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Individual

ELIZABETH HOLT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
4200 DIVISION AVE N, COMSTOCK PARK, MI 49321-9546
(616) 252-1630
Mailing address
4200 DIVISION AVE N, COMSTOCK PARK, MI 49321-9546
(616) 252-1630

Taxonomy

Speciality
Code
Description
License number
State
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
5501012863
MI
225100000X
Physical Therapist
Primary
5501012863
MI
2251X0800X
Orthopedic Physical Therapist
5501012863
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1730133463
MI
Enumeration date
03/28/2018
Last updated
03/28/2018
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