The Holloway Rehabilitation And Pain Center INC
Physical Therapist in Miami, FL. Organization (NPI-2).
NPI number1043484900
StatusActive
Last updated in NPPESAug 9, 2012
Details
- NPI
- 1043484900
- Entity type
- Organization (NPI-2)
- Legal business name
- The Holloway Rehabilitation And Pain Center INC
- Organization subpart
- No
- Enumeration date
- Apr 22, 2008
- Last updated
- Aug 9, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT0001638 | FL | Yes |
Practice location
12245 Sw 112th StMiami, FL 33186-4830
Phone 305-598-9696 · Fax 305-598-4479
Mailing address
12245 Sw 112th StMiami, FL 33186-4830
Phone 305-598-9696 · Fax 305-598-4479
Authorized official
Vanessa Holloway
Manager
3055989696
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