Individual
JUDAH TOMAS OLIVAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11012 N DIVOT DR, TUCSON, AZ 85737-7231
(520) 365-8155
Mailing address
11012 N DIVOT DR, TUCSON, AZ 85737-7231
(520) 365-8155
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA31109
FL
Other
Enumeration date
06/21/2021
Last updated
06/21/2021
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