Most Relevant Information
Provider Data
NPI Number: | 1003633090 |
Provider Name: | SYDNEY HOLTON |
Entity Type: | Individual |
Taxonomy Code: | 225100000X |
Specialty: | Physical Therapist |
License Number: | PTH12017 |
Most Important Dates
Enumeration Date: | 09/23/2024 |
Last Updated: | 09/23/2024 |
Provider Practice Location
25910 CANAL RD STE P
ORANGE BEACH
AL
365615016
Practice Location Phone/Fax
Phone: | 2519817778 |
Fax: | 2519817773 |
Provider Mailing Location
1711 COLLEGE AVE
JACKSON
AL
365452425
Provider Mailing Phone/Fax
Phone: | 2512465761 |
Fax: | 2512465665 |