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Individual
MICHAEL S HOLMES
Active
Individual
MICHAEL S HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
5501009015
MI
225100000X
Physical Therapist
Primary
PT33131
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33131
FLORIDA STATE LICENSE
FL
05
—
VAD000
—
MI
Enumeration date
09/08/2006
Last updated
05/02/2018
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