Provider Demographics
NPI:1386858371
Name:OLIVERO, DONNA MARIE (PT)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:MARIE
Last Name:OLIVERO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:9418 WROUGHT IRON CT
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22032-1348
Mailing Address - Country:US
Mailing Address - Phone:703-425-9397
Mailing Address - Fax:703-425-0303
Practice Address - Street 1:4141 N HENDERSON RD
Practice Address - Street 2:PLAZA 8
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22203-2486
Practice Address - Country:US
Practice Address - Phone:703-527-8446
Practice Address - Fax:703-527-1752
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA2305001975225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist