Individual
MICHELLE L HOLLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2927 S FISH HATCHERY RD, FITCHBURG, WI 53711-6498
(608) 819-6394
Mailing address
5210 MALONEY TRL, FITCHBURG, WI 53711-5651
(608) 577-6170
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5438-27
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20-5222679
KARI MYSKER
WI
Enumeration date
09/07/2017
Last updated
09/19/2017
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