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Individual

LORI L. HOLMGREEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.T.A.

Contact information

Practice address
W9609 GAYLORD RD, MERRILLAN, WI 54754-7926
(715) 333-5011
Mailing address
W9609 GAYLORD RD, MERRILLAN, WI 54754-7926
(715) 333-5011

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
238-019
WI

Other

Enumeration date
04/10/2008
Last updated
04/10/2008
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