Individual
MRS. MELISSA JEAN HOLVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA, RN
Contact information
Practice address
5501 GORDON DR, SIOUX CITY, IA 51106-2008
(712) 276-3821
Mailing address
803 N SHANNON DR, SLOAN, IA 51055-7756
(712) 428-4677
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
128947
IA
225200000X
Physical Therapy Assistant
Primary
00640
IA
Other
Enumeration date
12/08/2015
Last updated
12/08/2015
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