Individual
BENJAMIN ROBERT HOLMSTEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
900 LINCOLN AVE, GRANT, NE 69140-3095
(308) 289-4290
Mailing address
2207 WESTRIDGE DR, OGALLALA, NE 69153-3213
(308) 289-4290
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2743
NE
Other
Enumeration date
11/22/2011
Last updated
11/22/2011
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