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Individual

SUSANNE KAY OLIVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
2317 E YVONNE DR, FAYETTEVILLE, AR 72703-4246
(479) 263-2447
Mailing address
2317 E YVONNE DR, FAYETTEVILLE, AR 72703-4246
(479) 263-2447

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1228
AR

Other

Enumeration date
10/30/2007
Last updated
10/30/2007
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