Individual
RANDY OLIVOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20 OLD COLONY AVE, BOSTON, MA 02127-2405
(781) 664-9388
Mailing address
20 OLD COLONY AVE, BOSTON, MA 02127-2405
(781) 664-9388
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
22455
MA
Other
Enumeration date
07/31/2025
Last updated
07/31/2025
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