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NPI Code Detail

MEDICARE: ANNE EVELYN HOLIEN PT, DPT

MEDICARE:   ANNE EVELYN HOLIEN  PT, DPT
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 TherapistP20189NC
2225100000XPhysical Therapist10604SC

General Provider Information

NPI Number : 1932792439
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNE EVELYN HOLIEN PT, DPT
Provider Business Mailing Address
First Line : 1311 MAMARONECK AVE STE 140
Second Line :
City : WHITE PLAINS
State : NY
Zip : 10605-5224
Country : US
Telephone Number : 914-294-4050
Fax Number : 631-760-8306
Provider Business Practice Location Address
First Line : 2100 N DAVIDSON ST STE C
Second Line :
City : CHARLOTTE
State : NC
Zip : 28205-1828
Country : US
Telephone Number : 980-556-7780
Fax Number : 980-337-2777
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2021
Last Update Date : 09/22/2022

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