Individual
NICHOLE MICHELLE OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
436 LORRAINE BLVD, PICKERINGTON, OH 43147-2215
(937) 524-4312
Mailing address
339 E MAPLE ST, NORTH CANTON, OH 44720-2593
(330) 498-8200
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA009967
OH
Other
Enumeration date
05/31/2017
Last updated
05/31/2017
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