Doctor Name: | MRS. SUSANNE ELAINE HOLMEN |
NPI Number: | 1295887370 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 515 Bridge St Park Rapids, MN - 564701210 |
Business Phone Number: | 2183669229 |
Business Fax Number: | 2182372520 |
Mailing Address: | 23650 Glory Trail, PARK RAPIDS |
State: | MN |
Postal Code: | 56470 |
Phone Number: | 2187323088 |
Fax Number: | |
NPI Enumeration Date: | 01/17/2007 |
NPI Last Update Date: | 05/12/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Rehabilitation Practitioner |
Taxonomy Specialization: | |
Taxonomy Definition: | A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |