Individual
AMIE HOLKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1259 BRACEVILLE ROBINSON RD, SOUTHINGTON, OH 44470-9558
(330) 984-6307
Mailing address
1259 BRACEVILLE ROBINSON RD, SOUTHINGTON, OH 44470-9558
(330) 984-6307
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT.9334
SC
225100000X
Physical Therapist
Primary
PT017664
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108684708-00
—
OH
Enumeration date
09/17/2018
Last updated
09/17/2018
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