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Individual

HOLLY L GRAMSE

Active
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Individual

HOLLY L GRAMSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0210075
DEPT. OF LABOR &INDUSTRY
WA
01
0273744
DEPT OF L& I
WA
01
0273755
DEPT OF L&I
WA
01
0354GR
REGENCE
WA
01
0355GR
REGENCE
WA
01
1020GR
REGENCE BLUE SHIELD
WA
01
1170GR
REGENCE BLUE SHIELD
WA
01
1519GR
REGENCE BLUE SHIELD
WA
01
2250GR
REGENCE BLUE SHIELD
WA
01
4030GR
REGENCE BLUE SHIELD
WA
01
7777276
AETNA
WA
05
8351124
WA
01
8750GR
REGENCE BLUE SHIELD
WA
01
8941702
L&I CRIME VICTIMS
WA
01
911745305-98223-A020
TRICARE
WA
Enumeration date
06/03/2006
Last updated
03/08/2011
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