Olivia Gayle King, PTA
NPI #1124536487 in Rolling Fork, Mississippi
Provider Information
- NPI Number
- 1124536487
- Entity Type
- Individual
- Name
- Olivia Gayle King, PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Jan 19, 2018
- Last Updated
- Nov 15, 2023
Practice Location
- Address
- 47 S FOURTH ST
- City
- Rolling Fork
- State
- Mississippi
- ZIP Code
- 39159-5146
- Phone
- (662) 873-6051
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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