Individual
BENJAMIN HOLTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3835 SUPREME CT NW STE 2, BEMIDJI, MN 56601-4485
(218) 444-8280
(218) 444-8337
Mailing address
600 OAKMONT LN, STE 600C, WESTMONT, IL 60559-5548
(630) 575-1980
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05013774A
IN
225100000X
Physical Therapist
10731
MN
225100000X
Physical Therapist
4485
MN
Other
Enumeration date
06/19/2017
Last updated
07/21/2022
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