Individual
OLIVER CANAHUATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
10000 W 75TH ST STE 250, MERRIAM, KS 66204-2218
(888) 913-1910
Mailing address
1907 PATHWAY DR, CHAPEL HILL, NC 27516-7709
(919) 923-0758
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1247285
NC
Other
Enumeration date
03/06/2021
Last updated
06/11/2021
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