JOHNATHAN HOLMAN

BLOOMER, WI
NPI1114255064
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WI  1216-019)
Enumeration Date2009-12-03
Last Update Date2009-12-03
Business Address
-- JOHNATHAN HOLMAN PTA
1402 MAIN ST BOX 176
BLOOMER, WI 54724-1637
Phone number: 715-568-4669
Mailing Address
-- JOHNATHAN HOLMAN PTA
1402 MAIN ST PO BOX 176
BLOOMER, WI 54724-1637
Phone number: 715-568-4669
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