Individual
DALE OLEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3540 FAIRLANES AVE SW, GRANDVILLE, MI 49418-1536
(616) 531-0464
Mailing address
3540 FAIRLANES AVE SW, GRANDVILLE, MI 49418-1536
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501017333
MI
Other
Enumeration date
03/08/2018
Last updated
03/08/2018
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