Provider Demographics
NPI:1831374974
Name:DELOLMO, OLIVIA DONNA
Entity type:Individual
Prefix:
First Name:OLIVIA
Middle Name:DONNA
Last Name:DELOLMO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10615 ROCKLEY RD STE B
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77099-3513
Mailing Address - Country:US
Mailing Address - Phone:713-921-6254
Mailing Address - Fax:713-921-6526
Practice Address - Street 1:10615 ROCKLEY RD STE B
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77099-3513
Practice Address - Country:US
Practice Address - Phone:713-921-6254
Practice Address - Fax:713-921-6526
Is Sole Proprietor?:No
Enumeration Date:2008-01-08
Last Update Date:2008-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1083913225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist