Individual
OLIVIA GRACE SHARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6801 E COLONVILLE RD, CLARE, MI 48617-8932
(989) 630-8979
Mailing address
6801 E COLONVILLE RD, CLARE, MI 48617-8932
(989) 630-8979
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502005518
MI
Other
Enumeration date
10/21/2018
Last updated
10/21/2018
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