Individual
AMY K HOLTHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
11960 HERITAGE OAK PL, SUITE 19, AUBURN, CA 95603-2401
(530) 878-5301
(530) 878-5303
Mailing address
588 N SUNRISE AVE, STE 100, ROSEVILLE, CA 95661-2843
(916) 782-7848
(916) 782-7855
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
43271
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13668339
CAQH
CA
Enumeration date
12/02/2015
Last updated
01/21/2016
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