Whitley, Olivia Dubose

Whitley, Olivia Dubose is an sole proprietor health care provider with primary practice located at 1625 Decree Ave , West Columbia SC 29169-5638. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Whitley, Olivia Dubose can be contacted via phone (803) 926-9892.

Contact Information

Primary practice address
1625 Decree Ave West Columbia SC 29169-5638
Phone: (803) 926-9892
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 1365 South Carolina

Profile Details

NPI number 1306963897
LBN Legal business name Whitley, Olivia Dubose
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 22nd, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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