Individual
STEPHANIE HOLST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 W 144TH AVE STE 230, BROOMFIELD, CO 80023-9328
(303) 665-2603
(303) 665-2605
Mailing address
514 DEER RUN LN, PAPILLION, NE 68046-4331
(402) 547-0790
Taxonomy
Speciality
Code
Description
License number
State
2251H1200X
Hand Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
OT.0004103
CO
Other
Enumeration date
10/17/2014
Last updated
06/17/2019
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