Individual
LEANN E HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
21150 ELM WAY, BUCKEYE, AZ 85396-7510
(623) 298-7873
Mailing address
21150 W ELM WAY, BUCKEYE, AZ 85396-7510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9515
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9515
PHYSICAL THERAPY LICENSE
AZ
Enumeration date
02/16/2012
Last updated
02/16/2012
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