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NPI Code Detail

MEDICARE: ISABELLE BURUATO HOLLAND PTA

MEDICARE: ISABELLE BURUATO HOLLAND PTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy AssistantA3849NC

General Provider Information

NPI Number : 1588510762
Entity Type Code : Individual
Provider Name (Legal Business Name) : ISABELLE BURUATO HOLLAND PTA
Provider Business Mailing Address
First Line : 1500 IVY LN NW
Second Line :
City : VALDESE
State : NC
Zip : 28690-9785
Country : US
Telephone Number : 704-323-2736
Fax Number :
Provider Business Practice Location Address
First Line : 101 DELTA PARK DR
Second Line :
City : SHELBY
State : NC
Zip : 28150-3575
Country : US
Telephone Number : 704-323-2763
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2026
Last Update Date : 03/09/2026

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Directions to “ ISABELLE BURUATO HOLLAND PTA” Practice Location

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