Individual
MARK HOLADAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1895 BLUFF ST APT A, BOULDER, CO 80304-4286
(720) 435-4341
Mailing address
1895 BLUFF ST APT A, BOULDER, CO 80304-4286
(720) 435-4341
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-0005224
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51005356904
PHYSICIANS PLUS INC
WI
Enumeration date
05/23/2018
Last updated
01/03/2024
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