Healthcare Provider Details

I. General information

NPI: 1376407080
Provider Name (Legal Business Name): JOHN FRANCIS HOLLAND CEP, CSCS
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

875 POPLAR CHURCH RD STE 400
CAMP HILL PA
17011-2203
US

IV. Provider business mailing address

110 BRAEBURN WAY
PALMYRA PA
17078-4404
US

V. Phone/Fax

Practice location:
  • Phone: 717-724-6450
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Y00000X
TaxonomyClinical Exercise Physiologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: