Mccollum, Holly Renee

Mccollum, Holly Renee is an sole proprietor health care provider with primary practice located at 2981 Sw 22Nd St , Fort Lauderdale FL 33312-4356. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is her primary health care specialty. Mccollum, Holly Renee can be contacted via phone (954) 328-6195.

Contact Information

Primary practice address
2981 Sw 22Nd St Fort Lauderdale FL 33312-4356
Phone: (954) 328-6195
Fax: (954) 783-8161
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X 24939 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X 24939 Florida

Profile Details

NPI number 1225261332
LBN Legal business name Mccollum, Holly Renee
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 24th, 2009
Last updated Oct 1st, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225261332 NPPES
Florida MEDICAID 001377000

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