Individual
JAIMEE HOLDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
623 S 2ND ST, LUCK, WI 54853-9070
(715) 472-2164
Mailing address
PO BOX 421, LUCK, WI 54853-0421
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
0001349
CO
224Z00000X
Occupational Therapy Assistant
Primary
7046-27
WI
Other
Enumeration date
03/25/2022
Last updated
03/28/2023
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