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Individual

OLIVIA FULL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
111 W 10TH AVE, REDFIELD, SD 57469-1519
(605) 475-7390
Mailing address
111 W 10TH AVE, REDFIELD, SD 57469-1519
(605) 475-7390

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11222
MN
225100000X
Physical Therapist
Primary
2258
SD

Other

Enumeration date
08/15/2018
Last updated
08/19/2024
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