Individual
MRS. ASHLEY HOLMBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
101 LEBANON RD, NORTH FRANKLIN, CT 06254-1706
(860) 235-4846
Mailing address
101 LEBANON RD, NORTH FRANKLIN, CT 06254-1706
(860) 235-4846
(860) 642-8026
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006756
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080006756CT05
BLUE CROSS BLUE SHIELD
CT
Enumeration date
01/25/2007
Last updated
02/04/2021
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