Caitlin Bri Hollis, PTA

Individual provider Active NPI Physical Therapy Assistant · Corry, PA

NPI 1396110227 · NPPES record last updated Dec 3, 2015

Key facts

NPI
1396110227
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
TE009763 (PA)
Practice address
640 Worth St
Corry, PA 16407-8515
Phone
(814) 664-9606
Fax
(814) 665-0036
NPI assigned
Dec 3, 2015
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
TE009763PAMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X TE009763 PA Yes

Addresses

Primary practice location

640 Worth St
Corry, PA 16407-8515

Mailing address

1100 Shawnee Road
Lima, OH 45805
Phone (419) 999-2030

Other names

  • Caitlin Bri Weber Former name

Other providers in Corry, PA

All providers in Corry, PA · Physical Therapy Assistant in Pennsylvania

Sources for this page

Verify at the official NPI Registry.