Holly Renae Bloomquist DPT

NPI 1013112242 - Physical Therapist - 2251P0200X

NPI Details
NPI 1013112242
Gender Female
Enumeration Date 06/18/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
4510 VIEWRIDGE AVE
SAN DIEGO CA, 92123-1637, US
Phone (858) 502-1350
Fax
Business Location
3828 CAMINITO LITORAL # 201
SAN DIEGO CA, 92107-1902, US
Phone (619) 708-8262
Fax
Toxanomy
Taxonomy Code 2251P0200X
License State California
License Number 28600
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According to our database, Dr. Holly Renae Bloomquist DPT NPI is 1013112242, taxonomy code is 2251P0200X and license number is 28600, license state is located at California. Holly Renae Bloomquist DPT physically located at 4510 Viewridge Ave, San Diego CA, 92123-1637. NPI Number Holly Renae Bloomquist DPT has the Individual type.

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1013112242 NPI number is provided on an as is basis without warranty of any kind. 1013112242 is maintained by the National Plan & Provider Enumeration System. The contents of Holly Renae Bloomquist DPT are for informational purposes only.