Individual
KIMBERLY RENEE HOLLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
W190N4969 ONE MILE ROAD, MENOMONEE FALLS, WI 53051
(262) 790-1818
Mailing address
W192N4969 ONE MILE RD, MENOMONEE FALLS, WI 53051-6327
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1027-027
WI
Other
Enumeration date
06/21/2006
Last updated
07/08/2007
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