Individual
OLIVIA WATTLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
329 E JIMMIE LEEDS RD, GALLOWAY, NJ 08205-4110
(609) 964-7901
Mailing address
329 E JIMMIE LEEDS RD, GALLOWAY, NJ 08205-4110
(609) 964-7901
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
038851-1
NY
2251N0400X
Neurology Physical Therapist
Primary
40A02018200
NJ
Other
Enumeration date
06/02/2015
Last updated
06/29/2023
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