Individual
MRS. SHARON K. HOLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1351 WISCONSIN RIVER DR, PORT EDWARDS, WI 54469-1041
(715) 885-8300
(715) 885-8350
Mailing address
1351 WISCONSIN RIVER DR, PORT EDWARDS, WI 54469-1041
(715) 885-8300
(715) 885-8350
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
2281-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40155200
—
WI
Enumeration date
11/12/2007
Last updated
11/12/2007
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