Individual
DANIELLE OLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA, LMT
Contact information
Practice address
508 W I 240 SERVICE RD, OKLAHOMA CITY, OK 73139-4400
(405) 570-2672
(405) 724-9617
Mailing address
508 W I 240 SERVICE RD, OKLAHOMA CITY, OK 73139-4400
(405) 570-2672
(405) 724-9617
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3146
OK
225700000X
Massage Therapist
585715
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200968080A
—
OK
01
—
3146
PHYSICAL THERAPY
OK
01
—
585715
MEDICAL MASSAGE THERAPIST
OK
Enumeration date
03/01/2020
Last updated
03/07/2022
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