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Individual

MICHELLE ANN OLIVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
1201 N 28TH ST, SUPERIOR, WI 54880-5131
(715) 395-6066
Mailing address
1201 N 28TH ST, SUPERIOR, WI 54880-5131
(715) 395-6066

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
102910
MN
225X00000X
Occupational Therapist
Primary
5717-26
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
41034900
WI
01
6406318
MEDICA
Enumeration date
08/24/2006
Last updated
01/28/2026
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