MEDICARE: HOLLY K FINLEY PT

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	225100000X	Physical Therapist	070013298	IL
2	225100000X	Physical Therapist	36685	CA

General Provider Information

NPI Number	:	1053539197
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOLLY K FINLEY PT

Provider Business Mailing Address
First Line	:	647 CAMINO DE LOS MARES STE 111
Second Line	:
City	:	SAN CLEMENTE
State	:	CA
Zip	:	92673-2806
Country	:	US
Telephone Number	:	949-240-0600
Fax Number	:	949-240-7578

Provider Business Practice Location Address
First Line	:	647 CAMINO DE LOS MARES STE 111
Second Line	:
City	:	SAN CLEMENTE
State	:	CA
Zip	:	92673-2806
Country	:	US
Telephone Number	:	949-240-0600
Fax Number	:	949-240-7578

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/23/2007
Last Update Date	:	07/21/2022

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Directions to “ HOLLY K FINLEY PT” Practice Location

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