NPI 1003193301

Clifton Thomas Holley, PTA

Practitioner Physical Therapy Assistant Zephyrhills, FL

Practice location

Address: 38051 Market Sq, Zephyrhills, FL 33542-7504
Phone: (813) 779-2057
Fax: (813) 779-2066
Mailing address: 38135 Market Sq, Zephyrhills, FL 33542-7505

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA22368 (FL)

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Registry record

NPI: 1003193301
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Nov 2011
Record last updated: 15 Nov 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.