Individual
JOHN KYLE OLIVETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
8444 ENGLEMAN, CENTER LINE, MI 48015-1567
(586) 755-2400
Mailing address
2600 COMPASS RD, GLENVIEW, IL 60026-8001
(877) 787-3422
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502004405
MI
Other
Enumeration date
04/09/2024
Last updated
04/09/2024
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