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NPI Code Detail

MEDICARE: TONI OLIVA OTD, OTR/L

MEDICARE: TONI OLIVA OTD, OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor
2225X00000XOccupational Therapist0119-009649VA

General Provider Information

NPI Number : 1710373261
Entity Type Code : Individual
Provider Name (Legal Business Name) : TONI OLIVA OTD, OTR/L
Provider Business Mailing Address
First Line : 1591 PORT REPUBLIC RD
Second Line :
City : ROCKINGHAM
State : VA
Zip : 22801-3517
Country : US
Telephone Number : 540-437-4226
Fax Number :
Provider Business Practice Location Address
First Line : 1591 PORT REPUBLIC RD
Second Line :
City : ROCKINGHAM
State : VA
Zip : 22801-3517
Country : US
Telephone Number : 540-437-4226
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2015
Last Update Date : 10/14/2022

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