Individual
CARLY ANN OLVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, PT
Contact information
Practice address
310 TAUGHANNOCK BLVD, ITHACA, NY 14850-3251
(607) 252-3500
Mailing address
1468 CODDINGTON RD, BROOKTONDALE, NY 14817-9757
(607) 337-8546
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
049910
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
049910
—
NY
Enumeration date
02/16/2023
Last updated
02/16/2023
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