Doctor Name: | OLIVIA ANNA CAMILLA O'NEILL |
NPI Number: | 1154795805 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PTA |
License Number: | 15-043 |
Business Practice Address: | 3227 Bel Pre Rd Silver Spring, MD - 209062423 |
Business Phone Number: | 3018712000 |
Business Fax Number: | |
Mailing Address: | 1915 S Fallsmead Way, ROCKVILLE |
State: | MD |
Postal Code: | 208542640 |
Phone Number: | 3019805323 |
Fax Number: | |
NPI Enumeration Date: | 11/18/2015 |
NPI Last Update Date: | 11/18/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | 15-043 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |