Individual
BRIAN B HOLMQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MOT OTR
Contact information
Practice address
6515 WATTS RD, SUIT 206, MADISON, WI 53719-2726
(608) 238-5826
(608) 238-1221
Mailing address
6515 WATTS RD, SUITE 206, MADISON, WI 53719-2726
(608) 238-5826
(608) 238-1221
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3761026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40870200
—
WI
Enumeration date
05/15/2006
Last updated
07/11/2008
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