Individual
OLIVIA REISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
328 W 5TH ST, LEADVILLE, CO 80461-3547
(719) 486-6800
Mailing address
328 W 5TH ST, LEADVILLE, CO 80461-3547
(719) 486-6800
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
24487458
CO
235Z00000X
Speech-Language Pathologist
PSLP.0001383
CO
Other
Enumeration date
12/18/2024
Last updated
12/18/2024
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