| NPI Details | |
|---|---|
| NPI | 1700058989 |
| Gender | Female |
| Enumeration Date | 03/28/2008 |
| Last Updated | 03/31/2010 |
| Entity Type | Individual |
| Active | Over 9 years ago |
| Practice Location | |
|---|---|
| 2211 WAUKEGAN RD MIDTOWN ATHLETIC CLUB BANNOCKBURN IL, 60015-1570, US |
|
| Phone | (847) 267-8600 |
| Fax | (847) 267-9520 |
| Business Location | |
|---|---|
| 2211 WAUKEGAN RD MIDTOWN ATHLETIC CLUB BANNOCKBURN IL, 60015-1570, US |
|
| Phone | |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 225100000X |
| License State | Illinois |
| License Number | 070-016313 |
| Remove 1700058989 NPI Number | |
According to our database, Kathleen Holden DPT NPI is 1700058989, taxonomy code is 225100000X and license number is 070-016313, license state is located at Illinois. Kathleen Holden DPT physically located at 2211 Waukegan Rd, Bannockburn IL, 60015-1570. NPI Number Kathleen Holden DPT has the Individual type.
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1700058989 NPI number is provided on an as is basis without warranty of any kind. 1700058989 is maintained by the National Plan & Provider Enumeration System. The contents of Kathleen Holden DPT are for informational purposes only.
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