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NPI Code Detail

MEDICARE: MS. JAN E HOLLAND PT

MEDICARE: MS. JAN E HOLLAND PT
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 Therapist1258GA

General Provider Information

NPI Number : 1538282819
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JAN E HOLLAND PT
Provider Business Mailing Address
First Line : 1281 BECKET DR NE
Second Line :
City : ATLANTA
State : GA
Zip : 30319-1503
Country : US
Telephone Number : 770-936-0067
Fax Number :
Provider Business Practice Location Address
First Line : 1281 BECKET DR NE
Second Line :
City : ATLANTA
State : GA
Zip : 30319-1503
Country : US
Telephone Number : 770-936-0067
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2007
Last Update Date : 07/08/2007

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Directions to “ MS. JAN E HOLLAND PT” Practice Location

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