Individual
MR. EDMOND JAMES OLIVIER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1117 CLEAR LAKE CITY BLVD, HOUSTON, TX 77062-8102
(832) 224-4735
Mailing address
1117 CLEAR LAKE CITY BLVD, HOUSTON, TX 77062-8102
(832) 224-4735
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2188380
TX
Other
Enumeration date
08/14/2026
Last updated
08/14/2026
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