Individual
HOLLY BERNHOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
727 BEECHWOOD DR, TIPP CITY, OH 45371-6802
(937) 272-8979
Mailing address
727 BEECHWOOD DR, TIPP CITY, OH 45371-6802
(937) 272-8979
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
2251X0800X
Orthopedic Physical Therapist
Primary
PT019757
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT019757
OTPTAT BOARD
OH
Enumeration date
03/31/2017
Last updated
05/13/2022
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