Individual
ERICK D OLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2639 SICILY CT, GRAND PRAIRIE, TX 75052-3020
(817) 808-2803
Mailing address
2639 SICILY CT, GRAND PRAIRIE, TX 75052-3020
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2074800
TX
Other
Enumeration date
10/14/2019
Last updated
10/14/2019
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