Oliveira, Larissa Dias
Oliveira, Larissa Dias is an individual health care provider with primary practice located at 8862 Kephart Ln Unit 3, Berrien Springs MI 49103-1048. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Oliveira, Larissa Dias can be contacted via phone (951) 892-8900.Contact Information
Primary practice address
8862 Kephart Ln Unit 3
Berrien Springs MI 49103-1048
Phone: (951) 892-8900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1256971 | Texas |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 5501015387 | Michigan |
Profile Details
| NPI number | 1275863276 |
|---|---|
| LBN Legal business name | Oliveira, Larissa Dias |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 14th, 2010 |
| Last updated | Mar 23rd, 2017 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275863276 | NPPES |
| Other | 8FAU94 | BLUE CROSS BLUE SHIELD | |
| MEDICAID | 350048001 | BLUE CROSS BLUE SHIELD |
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