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NPI Code Detail

MEDICARE: TRICIA DANIEL-HOLLIES PT

MEDICARE: TRICIA DANIEL-HOLLIES 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
12251P0200XPediatric Physical Therapist1166820TX

General Provider Information

NPI Number : 1801124532
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRICIA DANIEL-HOLLIES PT
Provider Business Mailing Address
First Line : 13819 COUSHATTA CT
Second Line :
City : CYPRESS
State : TX
Zip : 77429-4096
Country : US
Telephone Number : 504-319-0611
Fax Number : 281-858-5345
Provider Business Practice Location Address
First Line : 12570 CLAY RD
Second Line :
City : HOUSTON
State : TX
Zip : 77041-5593
Country : US
Telephone Number : 713-983-0075
Fax Number : 281-858-5345
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2009
Last Update Date : 11/18/2009

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Directions to “ TRICIA DANIEL-HOLLIES PT” Practice Location

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