Individual
NICOLE L HOLZBAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
501 W HAVENS AVE, SUITE 103, MITCHELL, SD 57301-4334
(605) 995-6044
(605) 995-6044
Mailing address
PO BOX 1284, 501 WEST HAVENS SUITE 103, MITCHELL, SD 57301-7284
(605) 995-6044
(605) 995-6044
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0668
SD
225X00000X
Occupational Therapist
1247
NE
Other
Enumeration date
07/12/2007
Last updated
07/12/2007
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