Individual
CASANDRA L HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1550 N RANDALL RD, ELGIN, IL 60123-7876
(815) 398-9491
(815) 381-7498
Mailing address
PO BOX 735263, CHICAGO, IL 60673-5263
(815) 398-9491
(815) 381-7498
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070008987
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070008987
STATE LICENSE
IL
01
—
PT 28897
FLORIDA STATE LICENSE
FL
Enumeration date
04/03/2007
Last updated
05/07/2024
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