Individual
STEPHANIE LYNN HOLLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
8633 32ND AVE, KENOSHA, WI 53142-5187
(262) 694-8800
Mailing address
542 NEWMAN RD, RACINE, WI 53406-3454
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2048-027
WI
Other
Enumeration date
04/17/2008
Last updated
04/17/2008
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