Provider Demographics
NPI:1952394306
Name:GERKIN, HOLLY DEANN (ATC)
Entity Type:Individual
Prefix:MISS
First Name:HOLLY
Middle Name:DEANN
Last Name:GERKIN
Suffix:
Gender:F
Credentials:ATC
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Mailing Address - Street 1:190 WEXFORD DR
Mailing Address - Street 2:UNIT 202
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29621-1754
Mailing Address - Country:US
Mailing Address - Phone:864-261-3099
Mailing Address - Fax:864-261-6617
Practice Address - Street 1:100 HEALTHY WAY
Practice Address - Street 2:SUITE 1110
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29621-2067
Practice Address - Country:US
Practice Address - Phone:864-261-3309
Practice Address - Fax:864-261-6617
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-31
Last Update Date:2007-07-08
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer