Individual
MRS. HOLLY PUTNAM BACASA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1417 WIGHTMAN ST, PITTSBURGH, PA 15217-1240
(412) 421-0310
(412) 421-0312
Mailing address
1417 WIGHTMAN ST, PITTSBURGH, PA 15217-1240
(412) 421-0310
(412) 421-0312
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT010151L
PA
Other
Enumeration date
08/29/2007
Last updated
08/29/2007
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