Whalio Doctors

NPI 1841530045

Matthew Douglas Holland, PTA

Practitioner Physical Therapy Assistant Clayton, GA

Practice location

Address
1218 North Main Street, Clayton, GA 30525-0035
Phone
(706) 782-2585
Fax
(706) 782-2012
Mailing address
PO Box 1397 1218 North Main Street, Clayton, GA 30525-0035

Registered specialties (2)

Physical Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA002793 (GA)
Physical Therapy Assistant
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence A4374 (NC)

Registry record

NPI
1841530045
Entity type
Individual
Sex (as registered)
Male
NPI issued
25 Feb 2013
Record last updated
25 Feb 2013

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.