Individual
ANTHONY MORRIS OLIVER SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPT
Contact information
Practice address
1720 E 120TH ST, LOS ANGELES, CA 90059-3052
(310) 668-5150
(310) 223-0695
Mailing address
1849 N HOLLYWOOD WAY, BURBANK, CA 91505-1515
(213) 447-5356
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT30396
CA
Other
Enumeration date
03/09/2007
Last updated
10/26/2010
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