Individual
BENJAMIN J HOLZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT,LAT
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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