Jillian Kate Holsonback, PT, DPT
Physical Therapist in Valdosta, GA. Individual provider (NPI-1).
NPI number1114239779
StatusActive
Last updated in NPPESAug 20, 2018
Details
- NPI
- 1114239779
- Entity type
- Individual (NPI-1)
- Name
- Jillian Kate Holsonback
- Credential
- PT, DPT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 11, 2010
- Last updated
- Aug 20, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT013371 | GA | Yes |
| 225100000X | Physical Therapist | 15271 | NC |
Other names
- Jillian Kate Salas (Former Name)
Practice location
304 Emory StValdosta, GA 31602
Phone 229-244-1667 · Fax 229-244-8253
Mailing address
304 Emory StValdosta, GA 31602-1808
Phone 229-244-1667 · Fax 229-244-8253
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All 47 Physical Therapist providers in Valdosta · All 2,519 providers in Valdosta
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