Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | 11783 | FL |
NPI | 1609034701 |
---|---|
Provider Name | Catherine P Holway |
First Address | Palm Beach Gardens, FL 33420-1778 |
Second Address | Palm Beach Gardens, FL 33410-3287 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2008 |
Last Update Date | 11/06/2012 |