NPI 1003291808

Jesse Holliday, PTA

Practitioner Physical Therapy Assistant Lanham, MD

Practice location

Address: 8200 Good Luck Rd, Lanham, MD 20706-3511
Phone: (301) 552-2000
Mailing address: 5121 Lackawanna St, College Park, MD 20740-4530

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X

Other Physical Therapy Assistant providers in Maryland →

Registry record

NPI: 1003291808
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Jul 2015
Record last updated: 22 Jul 2015

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.