HOLLY ELIZABETH KIETZMAN

SPRINGFIELD, IL
NPI1023296456
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  160.004637)
Enumeration Date2008-02-07
Last Update Date2008-02-07
Business Address
Mrs. HOLLY ELIZABETH KIETZMAN PTA
33 MIDLAND CT
SPRINGFIELD, IL 62702-2939
Phone number: 217-789-9824
Mailing Address
Mrs. HOLLY ELIZABETH KIETZMAN PTA
33 MIDLAND CT
SPRINGFIELD, IL 62702-2939
Phone number: 217-789-9824
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