| NPI | 1225015753 |
|---|---|
| Former Name | REBECCA L HOLM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00007987) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 5138) |
| 225100000X Physical Therapist (Licence: ID RPT1677) | |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2010-11-03 |