Provider Demographics
NPI:1609932094
Name:HOLDINGA, CAMI H (PT)
Entity Type:Individual
Prefix:MS
First Name:CAMI
Middle Name:H
Last Name:HOLDINGA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:880 91ST COURT OCEAN
Mailing Address - Street 2:
Mailing Address - City:MARATHON
Mailing Address - State:FL
Mailing Address - Zip Code:33050-5251
Mailing Address - Country:US
Mailing Address - Phone:305-304-6203
Mailing Address - Fax:
Practice Address - Street 1:13365 OVERSEAS HWY
Practice Address - Street 2:SUITE # 103
Practice Address - City:MARATHON
Practice Address - State:FL
Practice Address - Zip Code:33050-3513
Practice Address - Country:US
Practice Address - Phone:305-289-0707
Practice Address - Fax:305-289-0706
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-29
Last Update Date:2010-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT17719225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL889716600Medicaid