Individual
LAURIE HOLTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3035 DEMERS AVE, GRAND FORKS, ND 58201-4040
(701) 746-6694
(701) 746-6894
Mailing address
1425 S COLUMBIA RD, GRAND FORKS, ND 58201-4039
(701) 746-8374
(701) 780-0885
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1244
ND
225100000X
Physical Therapist
6885
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2147313
FIRST HEALTH
ND
01
—
322R8HO
BCBSMN
MN
05
—
52613
—
ND
01
—
6404387
MEDICA
MN
Enumeration date
01/03/2007
Last updated
07/09/2007
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