Provider Demographics
NPI:1245533314
Name:HOLLIDAY, RILYNN (RRT RCP)
Entity type:Individual
Prefix:
First Name:RILYNN
Middle Name:
Last Name:HOLLIDAY
Suffix:
Gender:F
Credentials:RRT RCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3313 ARROWHEAD RD
Mailing Address - Street 2:
Mailing Address - City:SPRING LAKE
Mailing Address - State:NC
Mailing Address - Zip Code:28390-1540
Mailing Address - Country:US
Mailing Address - Phone:910-229-1906
Mailing Address - Fax:
Practice Address - Street 1:3313 ARROWHEAD RD
Practice Address - Street 2:
Practice Address - City:SPRING LAKE
Practice Address - State:NC
Practice Address - Zip Code:28390-1540
Practice Address - Country:US
Practice Address - Phone:910-229-1906
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-13
Last Update Date:2010-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA-3932227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered