Individual
KYLE J OLEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11509 S FORTUNA RD, YUMA, AZ 85367-7857
(928) 342-8767
Mailing address
W10540 WALKERS RD, HUMBIRD, WI 54746-8115
(715) 533-2696
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/14/2018
Last updated
09/14/2018
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