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NPI Code Detail

MEDICARE: ALISSA HOLMES DR. OF PT

MEDICARE: ALISSA HOLMES DR. OF 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
1225100000XPhysical Therapist40602CA

General Provider Information

NPI Number : 1184934986
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALISSA HOLMES DR. OF PT
Provider Business Mailing Address
First Line : 975 MORGAN ST
Second Line :
City : PERRIS
State : CA
Zip : 92571-3103
Country : US
Telephone Number : 806-468-9400
Fax Number : 806-468-9401
Provider Business Practice Location Address
First Line : 975 MORGAN ST
Second Line :
City : PERRIS
State : CA
Zip : 92571-3103
Country : US
Telephone Number : 806-468-9400
Fax Number : 806-468-9401
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2010
Last Update Date : 01/30/2026

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