Individual
ELIZABETH ANNE OLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2470 FLOWOOD DR, FLOWOOD, MS 39232-9019
(601) 983-2831
Mailing address
116 NOLAN LN, BRANDON, MS 39047-7438
(601) 540-6079
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA6654
MS
Other
Enumeration date
05/31/2019
Last updated
05/31/2019
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