Individual
JUDITH BONITA OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
6137 MORTON STREET, PHILADELPHIA, PA 19144-1002
(215) 843-6350
Mailing address
6137 MORTON ST, PHILADELPHIA, PA 19144-1002
(215) 843-6350
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEL000091
PA
Other
Enumeration date
05/09/2007
Last updated
05/01/2012
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