Provider Demographics
NPI:1093470577
Name:TOLOKNOVA, OLGA (DPT)
Entity Type:Individual
Prefix:DR
First Name:OLGA
Middle Name:
Last Name:TOLOKNOVA
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:673 ALBERTA AVE
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94087-4360
Mailing Address - Country:US
Mailing Address - Phone:609-672-0587
Mailing Address - Fax:
Practice Address - Street 1:401 WEBSTER ST
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94301-1244
Practice Address - Country:US
Practice Address - Phone:650-327-4333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-01
Last Update Date:2022-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA301001208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation