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Individual
RAFAEL JESUS OLIVA
Active
Individual
RAFAEL JESUS OLIVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
PT16788
FL
225100000X
Physical Therapist
16788
FL
225100000X
Physical Therapist
Primary
PT16788
FL
2251X0800X
Orthopedic Physical Therapist
16788
FL
Other
Enumeration date
02/07/2007
Last updated
10/14/2024
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