MEDICARE: BARBARA L HOLLAND P.T.

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	2031	OH

General Provider Information

NPI Number	:	1396966370
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARBARA L HOLLAND P.T.

Provider Business Mailing Address
First Line	:	5754 BRIDGETOWN RD
Second Line	:	SUITE B2
City	:	CINCINNATI
State	:	OH
Zip	:	45248-3100
Country	:	US
Telephone Number	:	513-661-6555
Fax Number	:	513-661-6556

Provider Business Practice Location Address
First Line	:	5754 BRIDGETOWN RD
Second Line	:	SUITE B2
City	:	CINCINNATI
State	:	OH
Zip	:	45248-3100
Country	:	US
Telephone Number	:	513-661-6555
Fax Number	:	513-661-6556

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

Provider Enumeration Date	:	05/01/2007
Last Update Date	:	07/08/2007

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Directions to “ BARBARA L HOLLAND P.T.” Practice Location

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