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Individual

HOLLY SU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(800) 335-1060
Mailing address
8162 HURON RIVER DR, DEXTER, MI 48130-9323

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201007408
MI

Other

Enumeration date
05/09/2024
Last updated
05/09/2024
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