Individual
MR. PATRICK OLIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
14260 W DENNY BLVD, LITCHFIELD PARK, AZ 85340-9644
(602) 716-1889
Mailing address
19631 W PINCHOT DR, BUCKEYE, AZ 85396-1691
(602) 716-1889
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-006580
AZ
Other
Enumeration date
07/07/2025
Last updated
07/07/2025
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