Individual
ANGELA MARIE OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
9730 PRAIRIE LAKES BLVD E, NOBLESVILLE, IN 46060-4766
(317) 770-3644
Mailing address
4123 CANDY APPLE BLVD, INDIANAPOLIS, IN 46235-4809
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06003672A
IN
Other
Enumeration date
10/04/2012
Last updated
10/04/2012
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