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Organization
HOLLY MARIE GROSS
Active
Organization
HOLLY MARIE GROSS
Active
Other names
Giants Country Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HOLLY MARIE GROSS PT (OWNER)
(218) 229-2300
Entity
Organization
Contact information
Practice address
15 E 1ST AVE N, AURORA, MN 55705-1386
(218) 229-2300
(218) 229-2005
Mailing address
15 E 1ST AVE N, AURORA, MN 55705-1386
(218) 229-2300
(218) 229-2005
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5727
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
235786100
—
MN
01
—
591R5GR
BCBSMN
MN
01
—
DD5185
RAILROAD MEDICARE
—
Enumeration date
04/17/2007
Last updated
07/31/2008
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