Kelly Lee Olive, PT

NPI #1326165176 in Lytle, Texas

Provider Information

NPI Number: 1326165176
Entity Type: Individual
Name: Kelly Lee Olive, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Mar 26, 2007
Last Updated: Jul 9, 2007

Practice Location

Address: 19965 FM 3175 NORTH
City: Lytle
State: Texas
ZIP Code: 78052
Phone: (210) 357-0369

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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