Provider Demographics
NPI:1922307313
Name:OLIVA, RAQUEL (LMT)
Entity Type:Individual
Prefix:
First Name:RAQUEL
Middle Name:
Last Name:OLIVA
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10109 SEA SPRAY PL
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33624-5086
Mailing Address - Country:US
Mailing Address - Phone:813-410-9229
Mailing Address - Fax:813-884-8342
Practice Address - Street 1:10109 SEA SPRAY PL
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33624-5086
Practice Address - Country:US
Practice Address - Phone:813-410-9229
Practice Address - Fax:813-884-8342
Is Sole Proprietor?:No
Enumeration Date:2011-03-24
Last Update Date:2011-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA61705225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist