Provider Demographics
NPI:1104897578
Name:HOLLINGSWORTH, DANNY JOE (PT)
Entity type:Individual
Prefix:DR
First Name:DANNY
Middle Name:JOE
Last Name:HOLLINGSWORTH
Suffix:
Gender:M
Credentials:PT
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Mailing Address - Street 1:2593 NE KEVOS POND DR
Mailing Address - Street 2:
Mailing Address - City:POULSBO
Mailing Address - State:WA
Mailing Address - Zip Code:98370-6320
Mailing Address - Country:US
Mailing Address - Phone:619-545-1148
Mailing Address - Fax:619-767-7417
Practice Address - Street 1:COMNAVAIRFOR
Practice Address - Street 2:BOCX 357071 NAS NI
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92135-7051
Practice Address - Country:US
Practice Address - Phone:619-545-1148
Practice Address - Fax:619-767-7417
Is Sole Proprietor?:No
Enumeration Date:2006-02-01
Last Update Date:2010-12-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAPT000098452251X0800X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic