MEDICARE: HOLLAND PHYSICAL THERAPY AND SPORTS REHAB

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
1	2251S0007X	Sports Physical Therapist

General Provider Information

NPI Number	:	1023827706
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOLLAND PHYSICAL THERAPY AND SPORTS REHAB

Provider Business Mailing Address
First Line	:	1141 PROSPECT RD
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15227-1408
Country	:	US
Telephone Number	:	412-337-5565
Fax Number	:

Provider Business Practice Location Address
First Line	:	1141 PROSPECT RD
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15227-1408
Country	:	US
Telephone Number	:	412-337-5565
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	GLENN HOLLAND
Credential	:	PT
Telephone Number	:	412-337-5565

Provider Enumeration Date	:	01/06/2025
Last Update Date	:	01/15/2025

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Directions to “HOLLAND PHYSICAL THERAPY AND SPORTS REHAB ” Practice Location

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