Individual
CRISTY M OLIVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1242 MARTIN ST S, PELL CITY, AL 35128-2310
(205) 338-6106
(205) 814-9180
Mailing address
1242 MARTIN ST S, PELL CITY, AL 35128-2310
(205) 338-6106
(205) 814-9180
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA5404
AL
Other
Enumeration date
09/18/2008
Last updated
09/18/2008
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