Individual
COREY OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7501 LEAD MINE RD, RALEIGH, NC 27615-5847
(919) 380-0257
Mailing address
429 SLICK ROCK RD, WENDELL, NC 27591-9819
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A5451
NC
Other
Enumeration date
10/05/2018
Last updated
10/05/2018
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