Holly Suzanne Hartline, PTA

NPI #1417252826 in Anna, Illinois

Provider Information

NPI Number: 1417252826
Entity Type: Individual
Name: Holly Suzanne Hartline, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jan 14, 2011
Last Updated: Jan 14, 2011

Practice Location

Address: 105 E LEWIS ST
City: Anna
State: Illinois
ZIP Code: 62906-1724
Phone: (618) 697-3073

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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