Jennifer Rose Holman
Specialist/Technologist, Athletic Trainer in Beverly, MA. Individual provider (NPI-1).
NPI number1629594635
StatusActive
Last updated in NPPESAug 21, 2017
Details
- NPI
- 1629594635
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Rose Holman
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 21, 2017
- Last updated
- Aug 21, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
376 Hale St # 1077Beverly, MA 01915-2096
Phone 617-777-2798 · Fax 617-777-2798
Mailing address
376 Hale St # 1077Beverly, MA 01915-2096
Phone 617-777-2798
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