Provider Demographics
NPI:1124435532
Name:HOLLEMAN, ADAM JAMES (DPT)
Entity type:Individual
Prefix:DR
First Name:ADAM
Middle Name:JAMES
Last Name:HOLLEMAN
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:421 NORTHLAKE BLVD
Mailing Address - Street 2:SUITE G
Mailing Address - City:NORTH PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33408
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:421 NORTHLAKE BLVD
Practice Address - Street 2:SUITE G
Practice Address - City:NORTH PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33408
Practice Address - Country:US
Practice Address - Phone:252-975-4395
Practice Address - Fax:252-975-4112
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-17
Last Update Date:2017-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT30485225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist