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Individual

CANDICE OLIPHANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
500 S OAKWOOD RD, OSHKOSH, WI 54904-7944
(920) 236-1850
(920) 236-1860
Mailing address
500 S OAKWOOD RD, OSHKOSH, WI 54904-7944
(920) 236-1850
(920) 236-1860

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10211-024
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40435900
WI
Enumeration date
06/27/2006
Last updated
10/06/2016
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