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Individual

TAMMIE OLIVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3703 W LAKE AVE, GLENVIEW, IL 60026-5823
(847) 998-1188
Mailing address
3703 W LAKE AVE, GLENVIEW, IL 60026-5823

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.006068
IL

Other

Enumeration date
11/27/2013
Last updated
11/27/2013
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