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HOLLY JO HEATH

Athletic Trainer >> Specialist/Technologist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1316616774

Individual Registrant:
 HOLLY JO HEATH 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
UWA STATION 14  LIVINGSTON, AL 35470 US
Tel: 804-381-9141  Fax: --

Contact information for business:
PO BOX 1659  WEST POINT, VA 23181-1659 US
Tel: 804-381-9141  Fax: --

Registration Information:
NPI: 1316616774
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Specialist/Technologist
Athletic Trainer

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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