Individual
AUSTIN DOUGLAS OLLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1507 N 1ST ST, INDIANOLA, IA 50125-3703
(515) 961-7435
Mailing address
PO BOX 461, NEVADA, IA 50201-0461
(515) 382-3366
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001569
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001569
STATE LICENSE
IA
Enumeration date
02/27/2013
Last updated
02/27/2013
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