Individual
JILL T HOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
4000 EASTERN SKY DR STE 6, TRAVERSE CITY, MI 49684-7351
(231) 932-9014
(231) 932-9034
Mailing address
4000 EASTERN SKY DR STE 6, TRAVERSE CITY, MI 49684-7351
(231) 932-9014
(231) 932-9034
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
51010005705
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0B81114
BCBS OF MI
MI
Enumeration date
05/08/2007
Last updated
07/08/2007
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