Individual
KELLY ANN HOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10713 32ND AVE N, PLYMOUTH, MN 55441-3001
(612) 709-3102
Mailing address
10713 32ND AVE N, PLYMOUTH, MN 55441-3001
(612) 709-3102
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
18159
CA
Other
Enumeration date
01/28/2022
Last updated
01/28/2022
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