Individual
MR. FREDRICK A OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
4555 LAKE FOREST DR, STE 150, CINCINNATI, OH 45242-3781
(877) 327-2278
(888) 322-2278
Mailing address
4555 LAKE FOREST DR, STE 150, CINCINNATI, OH 45242-3781
(877) 327-2278
(888) 322-2278
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
005788
KY
2251X0800X
Orthopedic Physical Therapist
Primary
PT 09980
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2630442
—
OH
Enumeration date
06/09/2005
Last updated
03/29/2011
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