Individual
JACOB OLIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
3901 CAPITAL MALL DR SW STE D, OLYMPIA, WA 98502-8654
(360) 709-6221
(360) 359-4727
Mailing address
3901 CAPITAL MALL DR SW STE D, OLYMPIA, WA 98502-8654
(360) 709-6221
(360) 359-4727
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
24370
MT
2251N0400X
Neurology Physical Therapist
Primary
PT61544267
WA
Other
Enumeration date
06/19/2022
Last updated
11/21/2024
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