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NPI Code Detail

MEDICARE: WILLIAM EDWARD HOLL PT

MEDICARE: WILLIAM EDWARD HOLL 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 TherapistPT005529LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1912957424
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM EDWARD HOLL PT
Provider Business Mailing Address
First Line : 328 WHEATSHEAF LN
Second Line :
City : LANGHORNE
State : PA
Zip : 19047-1553
Country : US
Telephone Number : 215-499-9807
Fax Number :
Provider Business Practice Location Address
First Line : 1413 W MOYAMENSING AVE
Second Line : 1ST FLOOR
City : PHILADELPHIA
State : PA
Zip : 19145-4625
Country : US
Telephone Number : 267-639-2555
Fax Number : 267-639-2632
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2006
Last Update Date : 11/14/2013

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