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Individual

HOLLY WOLF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
908 BRADY LANE, NEW RICHMOND, WI 54017
(651) 208-2071
Mailing address
908 BRADY LANE, NEW RICHMOND, WI 54017
(651) 208-2071

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
103340
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
41810700
WI
01
HP47902
HEALTH PARTNERS
MN
Enumeration date
02/20/2007
Last updated
07/09/2007
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