Provider Demographics
NPI:1568287068
Name:HOLSTINE, CHLOE L'ANEE (DPT)
Entity type:Individual
Prefix:
First Name:CHLOE
Middle Name:L'ANEE
Last Name:HOLSTINE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1191 CRESTON RD STE 115
Mailing Address - Street 2:
Mailing Address - City:PASO ROBLES
Mailing Address - State:CA
Mailing Address - Zip Code:93446-3033
Mailing Address - Country:US
Mailing Address - Phone:805-239-3696
Mailing Address - Fax:805-239-3697
Practice Address - Street 1:1191 CRESTON RD STE 115
Practice Address - Street 2:
Practice Address - City:PASO ROBLES
Practice Address - State:CA
Practice Address - Zip Code:93446-3033
Practice Address - Country:US
Practice Address - Phone:805-239-3696
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-19
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA307290225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist