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Individual

MR. SETH HOLT

Active
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Individual

MR. SETH HOLT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS PT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3236
NE
225100000X
Physical Therapist
PT-942
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
281325
MEDICARE PTAN #
NE
Enumeration date
04/19/2006
Last updated
01/20/2015
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