Individual
MRS. ANDREA RAE HOLBROOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.T.R.S.
Contact information
Practice address
227 E SANILAC RD, SANDUSKY, MI 48471-1160
(810) 648-0330
Mailing address
227 E SANILAC RD, SANDUSKY, MI 48471-1160
(810) 648-0330
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
225800000X
Recreation Therapist
53063
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275778672
OTHER COMMERCIAL INSURANCES
MI
05
—
1275778672
—
MI
Enumeration date
12/14/2008
Last updated
01/23/2024
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