Individual
DOMINIC FRANK OLIVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
30 OLD BROOKSIDE RD, RANDOLPH, NJ 07869-3604
(973) 945-5282
Mailing address
30 OLD BROOKSIDE RD, RANDOLPH, NJ 07869-3604
(973) 945-5282
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
034959
NY
225100000X
Physical Therapist
Primary
40QA01442500
NJ
Other
Enumeration date
02/16/2013
Last updated
02/16/2013
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