Individual
MRS. JESSICA LYN HOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
581 CARSON DR, SPOUT SPRING, VA 24593-2606
(434) 941-7730
Mailing address
581 CARSON DR, SPOUT SPRING, VA 24593-2606
(434) 941-7730
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305205485
VA
Other
Enumeration date
06/15/2011
Last updated
06/15/2011
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