Individual
MRS. GWEN LOUISE HAWLEY HOLINKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
16856 448TH AVE, WATERTOWN, SD 57201-7545
(605) 520-4529
Mailing address
16856 448TH AVE, WATERTOWN, SD 57201-7545
(605) 520-4529
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
061
SD
Other
Enumeration date
11/09/2008
Last updated
05/29/2016
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