Individual
MARIA OLAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1010 US 27 N, AVON PARK, FL 33825-2556
(863) 453-5200
Mailing address
708 ILLINOIS AVE, WAUCHULA, FL 33873-2126
(863) 448-3217
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
30940
FL
Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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