Individual
JESSICA LYNN OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
55 W LAKE RD, PLEASANT HILL, TN 38578-3002
(931) 297-9943
Mailing address
691 GRACE HILL DR, CROSSVILLE, TN 38571-1626
(315) 778-0898
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
011650-01
NY
225200000X
Physical Therapy Assistant
Primary
PTA0000008649
TN
Other
Enumeration date
10/31/2024
Last updated
10/31/2024
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