MEDICARE: MS. EDITH OLEWE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	1147169	TX

General Provider Information

NPI Number	:	1831309798
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. EDITH OLEWE

Provider Business Mailing Address
First Line	:	7322 S DAIRY ASHFORD ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77072-2112
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7322 S DAIRY ASHFORD ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77072-2112
Country	:	US
Telephone Number	:	713-705-4698
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2007
Last Update Date	:	07/08/2007

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Directions to “ MS. EDITH OLEWE ” Practice Location

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