Individual
MRS. PENNY M HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1905 5TH ST, MONROE, WI 53203-2903
(608) 329-6601
(608) 329-6604
Mailing address
1905 5TH ST, MONROE, WI 53203-2903
(608) 329-6601
(608) 329-6604
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1614-019
WI
Other
Enumeration date
10/01/2009
Last updated
10/01/2009
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