Provider Demographics
NPI:1043496870
Name:NORTON, HOLLY T (DC)
Entity Type:Individual
Prefix:
First Name:HOLLY
Middle Name:T
Last Name:NORTON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:12 BRIARWOOD DR
Mailing Address - Street 2:UNIT 1
Mailing Address - City:ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02703-5197
Mailing Address - Country:US
Mailing Address - Phone:508-292-3433
Mailing Address - Fax:508-226-0703
Practice Address - Street 1:1243 MINERAL SPRING AVE
Practice Address - Street 2:SUITE 214
Practice Address - City:NORTH PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02904-4636
Practice Address - Country:US
Practice Address - Phone:508-292-3433
Practice Address - Fax:508-226-0703
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-10
Last Update Date:2012-01-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA3078111N00000X
RIDCP00540111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor