Individual
MATTHEW OLIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
459 E 1ST ST, FOND DU LAC, WI 54935-4505
(920) 929-3500
(920) 929-3129
Mailing address
459 E 1ST ST, FOND DU LAC, WI 54935-4505
(920) 929-3500
(920) 929-3129
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6676-26
WI
Other
Enumeration date
02/10/2020
Last updated
02/10/2020
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