Individual
OLIVIA ROSE DEMICHELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1702 S VAL VISTA DR STE 107, MESA, AZ 85204-7386
(480) 505-8140
(480) 706-7997
Mailing address
15410 S MOUNTAIN PKWY STE 112, PHOENIX, AZ 85044-6691
(480) 689-5534
(480) 706-7997
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-32427
AZ
Other
Enumeration date
08/07/2022
Last updated
08/07/2022
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