MICHAEL HOLLOWAY

PEORIA, IL
NPI1922544287
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070.021923)
Enumeration Date2017-01-11
Last Update Date2017-01-11
Business Address
-- MICHAEL HOLLOWAY
100 NE RANDOLPH AVE
PEORIA, IL 61606-1919
Phone number: 309-624-4714
Mailing Address
-- MICHAEL HOLLOWAY
100 NE RANDOLPH AVE
PEORIA, IL 61606-1919
Phone number: 309-624-4714