Individual
SOPHIA HOLMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1160 SW SIMPSON AVE STE 200, BEND, OR 97702-3542
(541) 322-9045
Mailing address
1160 SW SIMPSON AVE STE 200, BEND, OR 97702-3542
(541) 322-9045
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
64556
OR
Other
Enumeration date
06/30/2022
Last updated
06/30/2022
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