SAMANTHA MAE OLIPHANT

ASHLAND, WI
NPI1104368356
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WI  2554-19)
Enumeration Date2016-11-04
Last Update Date2016-11-04
Business Address
-- SAMANTHA MAE OLIPHANT
1319 BEASER AVE
ASHLAND, WI 54806-3614
Phone number: 715-682-3468
Mailing Address
-- SAMANTHA MAE OLIPHANT
61498 BECKMAN RD
MARENGO, WI 54855-3448
Phone number: 715-413-1528
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