Provider Demographics
NPI:1598978181
Name:KUI, OLIVER AJULIAN (RPT)
Entity Type:Individual
Prefix:MR
First Name:OLIVER
Middle Name:AJULIAN
Last Name:KUI
Suffix:
Gender:M
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:417 SAN CARLOS DR
Mailing Address - Street 2:
Mailing Address - City:PUNTA GORDA
Mailing Address - State:FL
Mailing Address - Zip Code:33950-6144
Mailing Address - Country:US
Mailing Address - Phone:941-538-1975
Mailing Address - Fax:
Practice Address - Street 1:417 SAN CARLOS DR
Practice Address - Street 2:
Practice Address - City:PUNTA GORDA
Practice Address - State:FL
Practice Address - Zip Code:33950-6144
Practice Address - Country:US
Practice Address - Phone:941-538-1975
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT 33095225100000X
DEJ1-0001623225100000X
FLPT 20095225100000X
GAPT 008721225100000X
HIPT 2643225100000X
IA03920225100000X
NY028261-1225100000X
PAPT 018097225100000X
IL225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist