HOLLY LOUISE BALTHAZOR

LOMIRA, WI
NPI1164149761
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: WI  796-27)
Enumeration Date2022-10-24
Last Update Date2022-10-24
Business Address
HOLLY LOUISE BALTHAZOR
438 ASHFORD AVE
LOMIRA, WI 53048-9578
Phone number: 920-269-4386
Mailing Address
HOLLY LOUISE BALTHAZOR
1048 HOLLY TREE LN
FOND DU LAC, WI 54935-8008
Phone number: 920-960-1985