MS. Diana R. Holloway, PTA
NPI #1255629168 in St Augustine, Florida
Provider Information
- NPI Number
- 1255629168
- Entity Type
- Individual
- Name
- MS. Diana R. Holloway, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Jul 12, 2011
- Last Updated
- Jul 12, 2011
Practice Location
- Address
- 693 CIRA CT
- City
- St Augustine
- State
- Florida
- ZIP Code
- 32086-7714
- Phone
- (904) 797-3133
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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