Individual
JUSTINE E HOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1162 EDEN TER, ROCK HILL, SC 29730-3208
(612) 231-3789
Mailing address
2115 CHESTER ST, SHAKOPEE, MN 55379-4380
(612) 889-6378
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
MN
Other
Enumeration date
11/17/2021
Last updated
06/01/2023
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