| NPI | 1528016102 |
|---|---|
| Doing Business As | HOLLY STREET PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | DONNA M WOODARD Office Manager 479-524-8028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2020-08-22 |