Provider Demographics
NPI:1073742367
Name:DURKIN, HOLLY ELICE (PT, DPT)
Entity Type:Individual
Prefix:
First Name:HOLLY
Middle Name:ELICE
Last Name:DURKIN
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:HOLLY
Other - Middle Name:ELICE
Other - Last Name:BRAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:31 INNER CIR
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-3523
Mailing Address - Country:US
Mailing Address - Phone:602-321-8182
Mailing Address - Fax:
Practice Address - Street 1:31 INNER CIR
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-3523
Practice Address - Country:US
Practice Address - Phone:602-321-8182
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-08
Last Update Date:2009-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ8021225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist