Individual
MARYKAY OLIVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
700 TOLL HOUSE AVE, FREDERICK, MD 21701-4575
(301) 815-8878
Mailing address
42882 NASHUA ST, ASHBURN, VA 20147-3632
(703) 729-2782
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
21539
MD
225100000X
Physical Therapist
2305204655
VA
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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