Individual
EBONY OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8267 ELMBROOK DR STE 100, DALLAS, TX 75247-4051
(832) 320-3193
Mailing address
2777 N GARLAND AVE APT 61, GARLAND, TX 75040-1920
(434) 579-0184
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2160648
TX
225200000X
Physical Therapy Assistant
—
—
Other
Enumeration date
04/06/2021
Last updated
07/13/2021
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