Individual
ANNA SOPHIE HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7236
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1024610
PREFFERED ONE
MN
01
—
217L2HO
BLUE CROSS BLUE SHEILD
MN
01
—
6B478OR
BLUE CROSS BLUE SHIELD GR
MN
Enumeration date
07/10/2007
Last updated
10/01/2007
Update your record
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