ALLEN OLIVER

MODESTO, CA
NPI1740696459
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CA  AT6373)
Enumeration Date2014-07-02
Last Update Date2014-07-02
Business Address
-- ALLEN OLIVER PTA
1335 COFFEE RD #200
MODESTO, CA 95355
Phone number: 209-576-1946
Mailing Address
-- ALLEN OLIVER PTA
4318 SPYRES WAY
MODESTO, CA 95356
Phone number: 209-576-0710
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