Individual
OLIVIA COLANGELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
101 S CENTER ST STE B, SUBLIMITY, OR 97385-9100
(971) 900-6989
Mailing address
1567 EDGEWATER ST NW # 85, SALEM, OR 97304-4635
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
28151
OR
Other
Enumeration date
12/31/2024
Last updated
12/31/2024
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