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Individual

MRS. ANDREA CAROLINA OLIVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
1333 GATEWAY DR STE 1014, MELBOURNE, FL 32901-2647
(321) 432-2572
Mailing address
2580 JUDGE FRAN JAMIESON WAY UNIT 3113, MELBOURNE, FL 32940-6240
(954) 647-7386

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT 24123
FL

Other

Enumeration date
08/30/2007
Last updated
06/22/2023
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