Individual
SANDRA LYNN OLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
N6882 STATE ROAD 89, WHITEWATER, WI 53190-4191
(608) 883-2032
Mailing address
N6882 STATE ROAD 89, WHITEWATER, WI 53190-4191
(608) 883-2032
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
351-019
WI
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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