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Individual

ADDIE L HOLZMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
220 KELLER AVE N, AMERY, WI 54001-1036
(715) 268-1008
(715) 268-0111
Mailing address
265 GRIFFIN ST E, AMERY, WI 54001-1439
(715) 268-8000
(715) 268-0111

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11707
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11707
WISCONSIN STATE LICENSE
WI
Enumeration date
10/04/2011
Last updated
10/04/2011
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