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Olivia Rea

Student in an Organized Health Care Education/Training Program in Philadelphia, PA. Individual provider (NPI-1).

NPI number1619707916
StatusActive
Last updated in NPPESAug 2, 2024

Details

NPI
1619707916
Entity type
Individual (NPI-1)
Name
Olivia Rea
Sex
Female
Sole proprietor
No
Enumeration date
Aug 2, 2024
Certification date
Aug 2, 2024
Last updated
Aug 2, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

1015 Walnut St Ste 115
Philadelphia, PA 19107-5005

Phone 215-503-8734

Mailing address

302 S 13th St
Philadelphia, PA 19107-5910

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