Individual
MS. ANN MARIE HOLMQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
7540 N 19TH AVE STE 200, PHOENIX, AZ 85021-7967
(888) 873-4221
Mailing address
3400 10TH ST LOT 79, MENOMINEE, MI 49858-1666
(715) 587-8807
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
788-027
WI
Other
Enumeration date
10/13/2007
Last updated
10/13/2007
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