Individual
VICTORIA HOLMQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6776 LAKE DR, LINO LAKES, MN 55014-1191
(651) 784-7007
Mailing address
4347 UNIVERSITY AVE NE APT 3, COLUMBIA HEIGHTS, MN 55421-2727
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
104955
MN
Other
Enumeration date
12/21/2015
Last updated
12/21/2015
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