Organization
FORM PELVIC HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BLAIR A HOLLIDAY PT (OWNER)
(678) 936-0821
Entity
Organization
Contact information
Practice address
1295 HEMBREE RD STE A203, ROSWELL, GA 30076-4953
(678) 731-7772
(678) 731-7773
Mailing address
1295 HEMBREE RD STE A203, ROSWELL, GA 30076-4953
(678) 731-7772
(678) 731-7773
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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