Individual
PAUL ALLEN HOLMQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
625 E NICOLLET BLVD, SUITE 101, BURNSVILLE, MN 55337-6734
(952) 435-0343
(952) 435-0344
Mailing address
17760 LAYTON PATH, LAKEVILLE, MN 55044-5214
(952) 892-5529
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3080
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
955230800
—
MN
Enumeration date
10/15/2006
Last updated
07/08/2007
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