Individual
OLIVIA C RESOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
613 S KNIK GOOSE BAY RD, WASILLA, AK 99654-8090
(907) 317-5895
Mailing address
W267 W HILLSIDE RD, BERLIN, WI 54923-9469
(920) 252-5231
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
582027
WI
Other
Enumeration date
11/07/2021
Last updated
11/07/2021
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