Individual
MRS. MARY ELLEN OLEARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
150 6TH AVE, HAILEY, ID 83333
(208) 788-9693
Mailing address
PO BOX 1281, HAILEY, ID 83333-1281
(208) 720-7590
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
RPT487
ID
Other
Enumeration date
12/15/2006
Last updated
07/18/2023
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