Individual
HOLLY MARIE GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5727
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180022
U CARE
MN
05
—
235786100
—
MN
01
—
591R6GR
BSBS MN
MN
01
—
611652900
US DEPT OF LABOR
—
01
—
6404694
MEDICA
—
Enumeration date
11/28/2006
Last updated
07/21/2022
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