Individual
MARIA OLIVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
14649 SHADY VALLEY WAY, MORENO VALLEY, CA 92555-5736
(323) 365-1356
Mailing address
14649 SHADY VALLEY WAY, MORENO VALLEY, CA 92555-5736
(323) 365-1356
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT8501
CA
Other
Enumeration date
12/14/2015
Last updated
12/14/2015
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