Individual
MRS. JACQUELINE KAY HOLGATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
600 S FRANKLIN ST, ELK POINT, SD 57025
(605) 356-3894
Mailing address
1705 COUNTRY CLUB DR, ELK POINT, SD 57025-2325
(507) 848-0436
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
002428
IA
225X00000X
Occupational Therapist
Primary
0916
SD
225X00000X
Occupational Therapist
1798
NE
Other
Enumeration date
04/29/2014
Last updated
04/29/2014
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