Doctor Name: | MISS WYVONNIE HOLLIS |
NPI Number: | 1194928424 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 00547 |
Business Practice Address: | 6135 Roosevelt Hwy Warm Springs, GA - 318300264 |
Business Phone Number: | 7066555636 |
Business Fax Number: | 7066555661 |
Mailing Address: | Po Box 1000, P O Box 424 WARM SPRINGS |
State: | GA |
Postal Code: | 318301000 |
Phone Number: | 7066555636 |
Fax Number: | 7056555661 |
NPI Enumeration Date: | 06/06/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 00547 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |