Individual
KATIE OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
320 N 7TH ST, CORNELL, WI 54732-8120
(715) 239-0440
Mailing address
320 N 7TH ST, CORNELL, WI 54732-8120
(715) 239-0440
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1875-019
WI
Other
Enumeration date
06/29/2012
Last updated
01/23/2025
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