Individual
OLIVIA ROUSSEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
2716 FORUM BLVD STE 3, COLUMBIA, MO 65203-5450
(573) 257-8580
Mailing address
3401 TEAKWOOD CT, COLUMBIA, MO 65203-0695
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2021019379
MO
Other
Enumeration date
04/14/2025
Last updated
04/14/2025
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