Individual
KERRIJO FRANCES OLTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 8488
MN
225100000X
Physical Therapist
PT9325
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00626892
RAILROAD MEDICARE
GA
Enumeration date
06/18/2008
Last updated
02/09/2011
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