Doctor Name: | OVIDIO OLIVENCIA |
NPI Number: | 1922181700 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.P.T. |
License Number: | PT20448 |
Business Practice Address: | 8622 W State Road 84 Davie, FL - 333244567 |
Business Phone Number: | 9544727526 |
Business Fax Number: | 9544725605 |
Mailing Address: | 1502 Jefferson Ave Apt 302, MIAMI BEACH |
State: | FL |
Postal Code: | 331393483 |
Phone Number: | 9546100066 |
Fax Number: | |
NPI Enumeration Date: | 10/23/2006 |
NPI Last Update Date: | 07/08/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT20448 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |