Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225200000X | Physical Therapy Assistant | 00379 | IA |
NPI | 1003932179 |
---|---|
Provider Name | Marcia Ellen Holsinger |
First Address | Mount Pleasant, IA 52641-8302 |
Second Address | Fairfield, IA 52556-3713 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2007 |
Last Update Date | 08/07/2007 |