Individual
NICOLE MARIE HOLTAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1010 LONGVIEW RD, MISSOURI VALLEY, IA 51555-1227
(503) 788-7224
Mailing address
1235 N 206TH ST, ELKHORN, NE 68022-6914
(402) 212-7632
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1606
NE
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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