Individual
HOLLY SANBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT011405L
PA
225100000X
Physical Therapist
Primary
PT5287
ME
Other
Enumeration date
08/19/2011
Last updated
01/15/2021
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