Individual
HOLLY NEWKIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
410 N 2ND ST, MARSHALL, IL 62441-1010
(217) 826-2358
Mailing address
410 N 2ND ST, P.O. BOX 219, MARSHALL, IL 62441-1010
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160006428
IL
Other
Enumeration date
07/31/2014
Last updated
07/31/2014
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