Individual
KIMBERLY JANE OLAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1010 W MAIN ST, HENDERSON, TX 75652-2923
(903) 657-6945
Mailing address
7857 COUNTY ROAD 314 S, LANEVILLE, TX 75667-9501
(903) 646-3905
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2072079
TX
Other
Enumeration date
06/15/2009
Last updated
09/09/2019
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