Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEFFERSON WAYNE HOLM, DPT, PT, CBIS
Active Sole ProprietorDR. JEFFERSON WAYNE HOLM, DPT, PT, CBIS is a Neurology (Occupational Therapy) healthcare provider located in GILBERT, Arizona. NPI 1740622109 is currently active in the NPPES registry. Verify at CMS.
Neurology (Occupational Therapy) · GILBERT, AZ
Registration Details
- NPI Number
- 1740622109
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 25, 2013 (13.082855107518 yrs)
- Last Updated
- Aug 14, 2023
- Licenses
-
39016 (CA)9343 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3961 E GUADALUPE RD STE 1GILBERT, AZ, 852343266Browse AZ providers · Browse ZIP 85234
- Phone
- 4806994845
- Fax
- 4806995085
- Primary Specialty
-
Neurology (Occupational Therapy)
2251N0400X
- Additional Specialty
- Neurology (Occupational Therapy)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.