Doctor Name: | MRS. LISA ANTHONY HOLLAND |
NPI Number: | 1215966106 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT,MSPT, DPT |
License Number: | PT0000003318 |
Business Practice Address: | 155 Clear Branch Rd Dunlap, TN - 373276856 |
Business Phone Number: | 4239492086 |
Business Fax Number: | |
Mailing Address: | 155 Clear Branch Rd, DUNLAP |
State: | TN |
Postal Code: | 373276856 |
Phone Number: | 4239492086 |
Fax Number: | |
NPI Enumeration Date: | 07/02/2006 |
NPI Last Update Date: | 01/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | PT0000003318 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TN |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |