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Individual

KERRIJO FRANCES OLTMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
7250 FRANCE AVE S STE 111, EDINA, MN 55435-4311
(952) 831-8991
Mailing address
7250 FRANCE AVE S STE 111, EDINA, MN 55435-4311
(952) 831-8991

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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