Marybeth Oliva, OTR/L

NPI #1710510219 in Coppell, Texas

Provider Information

NPI Number: 1710510219
Entity Type: Individual
Name: Marybeth Oliva, OTR/L
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OTR/L
Enumeration Date: Feb 13, 2020
Last Updated: Mar 10, 2022

Practice Location

Address: 370 S STATE HIGHWAY 121 N STE 105
City: Coppell
State: Texas
ZIP Code: 75019-4265
Phone: (817) 479-7019

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist - Pediatrics — Pediatrics	225XP0200X
Occupational Therapist	225X00000X	Primary

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