Individual
MRS. HOLLY E. WAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
7915 HIGHWAY 72 W, MADISON, AL 35758-9561
(256) 489-2704
Mailing address
7915 HIGHWAY 72 W, MADISON, AL 35758-9561
(256) 489-2704
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH4164
AL
Other
Enumeration date
10/12/2009
Last updated
03/03/2021
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