Organization
HOLLY MARIE GROSS
Active
Other names
Giants Country Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HOLLY MARIE GROSS PT (OWNER)
(218) 229-2300
Entity
Organization
Contact information
Practice address
15 E 1ST AVE N, AURORA, MN 55705-1386
(218) 229-2300
(218) 229-2005
Mailing address
15 E 1ST AVE N, AURORA, MN 55705-1386
(218) 229-2300
(218) 229-2005
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5727
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
235786100
—
MN
01
—
591R5GR
BCBSMN
MN
01
—
DD5185
RAILROAD MEDICARE
—
Enumeration date
04/17/2007
Last updated
07/31/2008
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