Most Relevant Information
Provider Data
| NPI Number: | 1003830167 |
| Provider Name: | TANISHA HEATH HOLMES MSPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT007368 |
Most Important Dates
| Enumeration Date: | 07/26/2006 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
1826 VETERAN'S BLVD
DUBLIN
GA
31021
Practice Location Phone/Fax
| Phone: | 4782721210 |
| Fax: |
Provider Mailing Location
219 ASHLAND CT
DUBLIN
GA
310212461
Provider Mailing Phone/Fax
| Phone: | 4782750620 |
| Fax: |