Jerry Lynn Hollandsworth JR., LPTA

NPI #1942435391 in Radford, Virginia

Provider Information

NPI Number: 1942435391
Entity Type: Individual
Name: Jerry Lynn Hollandsworth JR., LPTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: LPTA
Enumeration Date: May 28, 2009
Last Updated: May 28, 2009

Practice Location

Address: 700 RANDOLPH ST
City: Radford
State: Virginia
ZIP Code: 24141-2430
Phone: (540) 633-3708

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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