Individual
TATYANNA LA'SHEA HOLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3800 FOREST DR STE B101, COLUMBIA, SC 29204-4146
(803) 764-2363
Mailing address
715 CRANE CHURCH RD, COLUMBIA, SC 29203-1415
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6804
SC
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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