Jason Holloway
NPI #1215617410 in Mendenhall, Mississippi
Provider Information
- NPI Number
- 1215617410
- Entity Type
- Individual
- Name
- Jason Holloway
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Recreation Therapist
- Enumeration Date
- Jul 21, 2023
- Last Updated
- Jul 21, 2023
Practice Location
- Address
- 147 RICHARD JOINER RD
- City
- Mendenhall
- State
- Mississippi
- ZIP Code
- 39114-5484
- Phone
- (601) 818-8442
Specialties & Taxonomy Codes
| Specialty |
|---|
| Recreation Therapist |
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