Individual
MRS. REBECCA JANE OLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3603 BIENVILLE BLVD, SUITE 200, OCEAN SPRINGS, MS 39564-5702
(228) 818-1211
Mailing address
3603 BIENVILLE BLVD STE 200, OCEAN SPRINGS, MS 39564-5702
(228) 818-1211
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT5097
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1598002685
NPI
MS
Enumeration date
01/09/2013
Last updated
02/22/2013
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