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Contact Information

ALLEN OLIVER, PTA
1335 COFFEE RD #200
MODESTO, CA95355
 Phone: 209-576-1946
 Fax: 209-576-0072
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for ALLEN OLIVER · (Male)

NPI Number 1740696459
Status Active
Credentials PTA (Physical Therapist Assistant)
Entity Individual
Enumeration date 07/02/2014
Last updated 07/02/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • CA License # AT6373
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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