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Individual
LARRY SCOTT OLVER
Active
Individual
LARRY SCOTT OLVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, MS, OCS, FAAOMPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.005384
IL
2251X0800X
Orthopedic Physical Therapist
070-005384
IL
Other
Enumeration date
01/06/2006
Last updated
10/08/2015
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