Virginia Susan Holman, MPT
Physical Therapist in Woodburn, OR. Individual provider (NPI-1).
NPI number1245274158
StatusActive
Last updated in NPPESJun 15, 2018
Details
- NPI
- 1245274158
- Entity type
- Individual (NPI-1)
- Name
- Virginia Susan Holman
- Credential
- MPT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 15, 2006
- Last updated
- Jun 15, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 3455 | OR | Yes |
Other names
- Ginger Susan Holman (Other Name)
Practice location
1359 N Pacific HwyWoodburn, OR 97071
Phone 503-982-0232 · Fax 503-873-6113
Mailing address
495 State St Fl 6Salem, OR 97301-3757
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