Individual
ROLLIN OLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
30800 CHAGRIN BLVD, PEPPER PIKE, OH 44124-5927
(440) 205-5417
Mailing address
30800 CHAGRIN BLVD, PEPPER PIKE, OH 44124-5927
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2864093
—
OH
Enumeration date
05/03/2022
Last updated
05/03/2022
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