Individual
LAURA OLIVERIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
PO BOX 220, BRIDGEPORT, WV 26330-0220
(304) 622-1600
(304) 622-4747
Mailing address
422 WORTHINGTON DR, BRIDGEPORT, WV 26330-1433
(304) 677-9319
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA2343
WV
Other
Enumeration date
04/17/2017
Last updated
09/17/2024
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