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NPI Code Detail

MEDICARE: DR. MAURICE ALLEN OLIVER JR. DPT

MEDICARE:  DR. MAURICE ALLEN OLIVER JR. DPT
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
1225100000XPhysical TherapistJ1-0014363DE
2225100000XPhysical TherapistP18425NC
3225100000XPhysical TherapistPT.9629SC
4225100000XPhysical TherapistCP017357TVA
5225100000XPhysical TherapistMD
6225100000XPhysical Therapist5501302647MI

General Provider Information

NPI Number : 1427555945
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MAURICE ALLEN OLIVER JR. DPT
Provider Business Mailing Address
First Line : 2001 BUTTERFIELD RD STE 1600
Second Line :
City : DOWNERS GROVE
State : IL
Zip : 60515-1211
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 15630 OLD COLUMBIA PIKE STE F
Second Line :
City : BURTONSVILLE
State : MD
Zip : 20866-1617
Country : US
Telephone Number : 240-559-5270
Fax Number : 240-559-5271
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2018
Last Update Date : 02/24/2025

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