Neiswender, Holly

Neiswender, Holly is an individual health care provider with primary practice located at 2215 E Henry Ave , Tampa FL 33610-4432. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist is her primary health care specialty. Neiswender, Holly can be contacted via phone (813) 239-1179.

Contact Information

Primary practice address
2215 E Henry Ave Tampa FL 33610-4432
Phone: (813) 239-1179
Fax: (813) 237-3091
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X PT0002911 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PTOOO2911 Florida

Profile Details

NPI number 1619913076
LBN Legal business name Neiswender, Holly
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Feb 15th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619913076 NPPES
Florida MEDICAID 880492301
Florida MEDICAID 000122200

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