Individual
OLIVIA ANN DEITERING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 5TH ST, BROOKINGS, OR 97415-9702
(419) 788-4247
Mailing address
5665 TOWNSHIP ROAD 93, MCCOMB, OH 45858
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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