Provider Demographics
NPI:1427335587
Name:GRIMM, HOLLY (DPT)
Entity type:Individual
Prefix:
First Name:HOLLY
Middle Name:
Last Name:GRIMM
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
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Mailing Address - Street 1:4750 LINDLE ROAD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17111-2428
Mailing Address - Country:US
Mailing Address - Phone:717-803-3342
Mailing Address - Fax:717-974-8743
Practice Address - Street 1:3212 CAPE HORN ROAD
Practice Address - Street 2:UNIT 2
Practice Address - City:RED LION
Practice Address - State:PA
Practice Address - Zip Code:17356-9073
Practice Address - Country:US
Practice Address - Phone:171-220-8286
Practice Address - Fax:717-344-5186
Is Sole Proprietor?:No
Enumeration Date:2011-11-03
Last Update Date:2024-03-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAPT021717225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist