Individual
ELIZABETH HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3119 W FAIDLEY AVE, GRAND ISLAND, NE 68803-4114
(308) 384-2333
Mailing address
1832 W 12TH ST, GRAND ISLAND, NE 68803-3715
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1118
NE
Other
Enumeration date
07/29/2020
Last updated
07/29/2020
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