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Individual

HOLLY HUSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
1284 CORPORATE CENTER DR STE 500, EAGAN, MN 55121-1280
(612) 863-6029
Mailing address
1284 CORPORATE CENTER DR STE 500, EAGAN, MN 55121-1280
(612) 863-6029
(612) 863-8942

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11277
MN
225100000X
Physical Therapist
14771
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11277
LICENSE
MN
Enumeration date
09/06/2018
Last updated
06/17/2022
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