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Individual

JOYCE HOLLIDAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
1402 HIGHWAY 71, INTERNATIONAL FALLS, MN 56649-2154
(763) 689-5385
Mailing address
38797 COUNTY ROAD 14, BIGFORK, MN 56628-4663

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
101081
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5G702HO
BCBS
MN
01
6405415
MEDICA
MN
01
HP49612
HEALTH PARTNERS
MN
Enumeration date
09/27/2006
Last updated
07/09/2007
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