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Contact Information

MARK A OLIVER, DPT, ATC, CSCS
432 E MAIN ST STE A-1
ABINGDON, VA24210-3488
 Phone: 276-608-4468
 Fax: 276-240-1010
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopedic

2251X0800X 65 Physical Therapist in Private Practice
 

Athletic Trainer

2255A2300X
 

Sports

2251S0007X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for MARK A OLIVER · (Male)

NPI # 1710185301
Status Active
Credentials DPT, ATC, CSCS
Entity Individual
Enumeration date 07/05/2007
Last updated 01/10/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • VA License # 050102053
  • VA License # 2305202418
  • WV License # 002567
  • WV Medicaid 0156094000
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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