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Individual

BENJAMIN J HOLZMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MPT,LAT

Contact information

Practice address
15312 W BELOIT RD, NEW BERLIN, WI 53151-7447
(262) 641-5771
(262) 641-6317
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-3251

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10942-24
WI
2255A2300X
Athletic Trainer
734-39
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1457522542
WI
Enumeration date
03/17/2008
Last updated
07/24/2014
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