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NPI Code Detail

MEDICARE: KATHRYN S HOLTFRETER OTR CHT

MEDICARE: KATHRYN S HOLTFRETER OTR CHT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225XH1200XHand Occupational Therapist5201000411MI

General Provider Information

NPI Number : 1366404972
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRYN S HOLTFRETER OTR CHT
Provider Business Mailing Address
First Line : 701 W FRONT ST
Second Line : SUITE 100
City : TRAVERSE CITY
State : MI
Zip : 49684-2236
Country : US
Telephone Number : 231-995-9748
Fax Number : 231-995-9745
Provider Business Practice Location Address
First Line : 701 W FRONT ST
Second Line : SUITE 100
City : TRAVERSE CITY
State : MI
Zip : 49684-2236
Country : US
Telephone Number : 231-995-9748
Fax Number : 231-995-9745
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2006
Last Update Date : 04/14/2010

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Directions to “ KATHRYN S HOLTFRETER OTR CHT” Practice Location

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