Individual
OLYVIA FAITH ENGELHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
10600 MASTIN ST, OVERLAND PARK, KS 66212-5723
(913) 681-0606
Mailing address
611 PARK AVE, BELTON, MO 64012-3124
(816) 547-6632
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-03530
KS
Other
Enumeration date
11/11/2019
Last updated
11/11/2019
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