NPI 1104368356

Samantha Mae Oliphant

Practitioner Physical Therapy Assistant Ashland, WI

Practice location

Address: 1319 Beaser Ave, Ashland, WI 54806-3614
Phone: (715) 682-3468
Mailing address: 61498 Beckman Rd, Marengo, WI 54855-3448

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 2554-19 (WI)

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Registry record

NPI: 1104368356
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Nov 2016
Record last updated: 4 Nov 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.