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1023595717
OLIVIA NICOLE WISE
BALTIMORE, MD
NPI
1023595717
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MD 27275)
Enumeration Date
2018-07-25
Last Update Date
2018-11-21
Business Address
OLIVIA NICOLE WISE DPT
117 ORVILLE RD
BALTIMORE, MD 21221
Phone number: 410-668-2270
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Mailing Address
OLIVIA NICOLE WISE DPT
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 630-296-2222
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