Individual
OLIVIA G LIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1401 13TH AVE E, WEST FARGO, ND 58078-3468
(701) 364-5751
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2836
ND
Other
Enumeration date
09/02/2025
Last updated
09/02/2025
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