Provider Demographics
NPI:1972850386
Name:HOLLAND, CHRISTOPHER NELSON (PT)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:NELSON
Last Name:HOLLAND
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 MASONIC AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-4414
Mailing Address - Country:US
Mailing Address - Phone:415-353-2827
Mailing Address - Fax:
Practice Address - Street 1:109 MASONIC AVE
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-4414
Practice Address - Country:US
Practice Address - Phone:415-353-2827
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-06
Last Update Date:2012-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist