Individual
ROWENA OLIFERNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
13405 TREY LANE, CLIFTON, VA 20124
(718) 612-4626
Mailing address
13405 TREY LANE, CLIFTON, VA 20124
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119005273
VA
Other
Enumeration date
12/09/2013
Last updated
12/09/2013
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