HOLLY MARIE PROVOST

MILWAUKIE, OR
NPI1609910389
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: OR  5083)
Enumeration Date2007-02-16
Last Update Date2007-07-08
Business Address
Mrs. HOLLY MARIE PROVOST Physical Therapist
4560 SE INTERNATIONAL WAY MILWAUKIE
MILWAUKIE, OR 97222
Phone number: 971-206-5140
Mailing Address
Mrs. HOLLY MARIE PROVOST Physical Therapist
4560 SE INTERNATIONAL WAY MILWAUKIE
MILWAUKIE, OR 97222
Phone number: 971-206-5140
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