Bonnie Holland PT

NPI 1275976318 - Physical Therapist - 225100000X

NPI Details
NPI 1275976318
Gender Female
Enumeration Date 04/08/2013
Last Updated 06/18/2014
Entity Type Individual
Active Over 3 years ago
Practice Location
6274 SW CAPITOL HWY
PORTLAND OR, 97239-2674, US
Phone (503) 245-6516
Fax (503) 245-5061
Business Location
6274 SW CAPITOL HWY
PORTLAND OR, 97239-2674, US
Phone (503) 245-6516
Fax (503) 245-5061
Toxanomy
Taxonomy Code 225100000X
License State Oregon
License Number 0630
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According to our database, Bonnie Holland PT NPI is 1275976318, taxonomy code is 225100000X and license number is 0630, license state is located at Oregon. Bonnie Holland PT physically located at 6274 Sw Capitol Hwy, Portland OR, 97239-2674. NPI Number Bonnie Holland PT has the Individual type.

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1275976318 NPI number is provided on an as is basis without warranty of any kind. 1275976318 is maintained by the National Plan & Provider Enumeration System. The contents of Bonnie Holland PT are for informational purposes only.