Individual
WILLIAM JACKSON OLIVER IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4469 VERANDA LAKE CT, GREENSBORO, NC 27409-9243
(336) 662-3737
(336) 663-0249
Mailing address
4469 VERANDA LAKE CT, GREENSBORO, NC 27409-9243
(336) 662-3737
(336) 663-0249
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A6734
NC
Other
Enumeration date
09/19/2023
Last updated
09/19/2023
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