Individual
MRS. MICHELLE ANN HOLDORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2711 LINCOLN ST, MARINETTE, WI 54143-4273
(715) 330-5371
Mailing address
2711 LINCOLN ST, MARINETTE, WI 54143-4273
(715) 330-5371
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OTH-008555
AZ
Other
Enumeration date
10/06/2021
Last updated
10/06/2021
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