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NPI Code Detail

MEDICARE: HOLLY MCDONALD MPT, LMBT

MEDICARE:   HOLLY  MCDONALD  MPT, LMBT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist12117NC
2225700000XMassage Therapist1668NC

General Provider Information

NPI Number : 1346615242
Entity Type Code : Individual
Provider Name (Legal Business Name) : HOLLY MCDONALD MPT, LMBT
Provider Business Mailing Address
First Line : 7 OAK BRANCH DR
Second Line :
City : GREENSBORO
State : NC
Zip : 27407-2380
Country : US
Telephone Number : 336-294-0910
Fax Number :
Provider Business Practice Location Address
First Line : 7 OAK BRANCH DR
Second Line :
City : GREENSBORO
State : NC
Zip : 27407-2380
Country : US
Telephone Number : 336-294-0910
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2015
Last Update Date : 12/03/2015

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Directions to “ HOLLY MCDONALD MPT, LMBT” Practice Location

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