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Individual

DR. JEFFERSON WAYNE HOLM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPT, PT, CBIS

Contact information

Practice address
3961 E GUADALUPE RD STE 1, GILBERT, AZ 85234-3266
(480) 699-4845
(480) 699-5085
Mailing address
3160 N ARIZONA AVE STE 106, CHANDLER, AZ 85225-7122
(480) 244-7011
(480) 699-5085

Taxonomy

Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
39016
CA
2251N0400X
Neurology Physical Therapist
Primary
9343
AZ

Other

Enumeration date
07/25/2013
Last updated
08/14/2023
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