Provider Demographics
NPI:1396205860
Name:HOLLAND, SARAH ALEXANDRA
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:ALEXANDRA
Last Name:HOLLAND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:714 POPLAR ST
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93458-9066
Mailing Address - Country:US
Mailing Address - Phone:805-345-5313
Mailing Address - Fax:
Practice Address - Street 1:714 POPLAR ST
Practice Address - Street 2:
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93458-9066
Practice Address - Country:US
Practice Address - Phone:805-345-5313
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-21
Last Update Date:2019-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer