Individual
MRS. HOLLY LYNN STRUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5300 MEMORIAL DRIVE, TWO RIVERS, WI 54241
(920) 793-7570
(920) 793-7571
Mailing address
5000 MEMORIAL DRIVE, TWO RIVERS, WI 54241
(920) 793-7570
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1330-19
—
225200000X
Physical Therapy Assistant
1330
WI
Other
Enumeration date
12/31/2009
Last updated
08/29/2012
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