Individual
MRS. HOLLY MARIE PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,OTR/L
Contact information
Practice address
1415 BILGO LN, KEWASKUM, WI 53040-8921
(262) 626-3101
Mailing address
1455 SCHOOL ST, KEWASKUM, WI 53040-8924
(262) 626-8427
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4195-023
WI
Other
Enumeration date
10/05/2006
Last updated
01/29/2026
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