Individual
MS. JENNIFER OLIVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
121 RICHMOND DR, DAVENPORT, FL 33896-3081
(786) 657-0570
Mailing address
121 RICHMOND DR, DAVENPORT, FL 33896-3081
(786) 657-0570
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
FL
Other
Enumeration date
05/01/2012
Last updated
04/19/2021
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