Individual
KATHRYN OLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4210 SABANA GRANDE AVE SE, RIO RANCHO, NM 87124-1152
(505) 816-7534
(505) 892-6606
Mailing address
4210 SABANA GRANDE AVE SE, RIO RANCHO, NM 87124-1152
(505) 816-7534
(505) 892-6606
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-164
NM
Other
Enumeration date
02/19/2016
Last updated
02/19/2016
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