Individual
MR. JEFFREY MICHAEL OLIVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
3840 PEACHTREE INDUSTRIAL BLVD, STE 120, DULUTH, GA 30096-5031
(678) 584-1622
(678) 584-1673
Mailing address
PO BOX 923387, NORCROSS, GA 30010-3387
(678) 584-1622
(678) 584-1673
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT005486
GA
Other
Enumeration date
01/07/2008
Last updated
09/30/2009
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