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Johnathan Holman, PTA
NPI 1114255064 · on the registry since 2009
Practice
- Address
- 1402 Main St
Box 176
Bloomer, WI 54724 - Phone
- (715) 568-4669
- Fax
- (715) 568-4673
- Organisation at this address
- Herman Advanced Family Eyecare Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 18
Registry record
- Primary taxonomy
- Physical Therapy Assistant
225200000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-12-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin