Olivia Ann Deitering

NPI #1235839697 in Brookings, Oregon

Provider Information

NPI Number: 1235839697
Entity Type: Individual
Name: Olivia Ann Deitering
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Mar 6, 2023
Last Updated: Mar 6, 2023

Practice Location

Address: 500 5TH ST
City: Brookings
State: Oregon
ZIP Code: 97415-9702
Phone: (419) 788-4247

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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