Individual
OLIVIA R PORTNOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4114 DONALD DR, MADISON, WI 53704-2822
(608) 204-7940
Mailing address
4114 DONALD DR, MADISON, WI 53704-2822
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14481708
WI
Other
Enumeration date
02/27/2026
Last updated
02/27/2026
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