Dr. Jefferson Wayne Holm
Physical Therapist - Neurology
1447 W Elliot Rd # 1
Gilbert
, Arizona 85233-5166
Dr. Jefferson Wayne Holm
Physical Therapist - Neurology
1447 W Elliot Rd # 1
Gilbert
, Arizona 85233-5166
(480) 244-7011
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About
Features
Specialties
- Physical Therapist - Neurology
Languages spoken
- English
Location
First Address
- Dr. Jefferson Wayne Holm
- 1447 W Elliot Rd # 1
- Gilbert, AZ
- Zip : 85233-5166
- Phone : (480) 244-7011
Second Address
- Dr. Jefferson Wayne Holm
- 1447 W Elliot Rd # 1
- Gilbert, AZ
- Zip : 85233-5166
- Phone : (480) 244-7011
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2251N0400X | Physical Therapist - Neurology | 39016 | CA |
| Y | 2251N0400X | Physical Therapist - Neurology | 9343 | AZ |
National Provider Identifier
| NPI | 1740622109 |
|---|---|
| Provider Name | Dr. Jefferson Wayne Holm |
| First Address | Gilbert, AZ 85233-5166 |
| Second Address | Gilbert, AZ 85233-5166 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/07/2013 |
| Last Update Date | 12/07/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.