Individual
MS. LISA MICHELLE WILHELM-OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
3976 N HAMPTON DR, POWELL, OH 43065-8443
(888) 907-2667
Mailing address
216 E 6TH ST, NEWPORT, KY 41071-1934
(513) 262-1793
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
011765
OH
Other
Enumeration date
01/07/2010
Last updated
01/07/2010
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