Individual
JAMIE HOLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
9350 W FOND DU LAC AVE, MILWAUKEE, WI 53225-1714
(414) 438-4360
Mailing address
1555 COMMONWEALTH DR APT 7, FORT ATKINSON, WI 53538-3134
(920) 723-9263
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5338
WI
Other
Enumeration date
04/14/2017
Last updated
04/14/2017
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