NPI 1104307115

Howard Hollischer, PTA

Practitioner Physical Therapy Assistant Saint Paul, MN

Practice location

Address: 1879 Feronia Ave, Saint Paul, MN 55104-3549
Phone: (651) 632-8825
Mailing address: 3548 Dupont Ave S APT 308, Minneapolis, MN 55408-4025

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence A1725 (MN)

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Registry record

NPI: 1104307115
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Aug 2018
Record last updated: 27 Aug 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.