Most Relevant Information
Provider Data
| NPI Number: | 1003325259 |
| Provider Name: | OLIVIA VINIKOOR MS, CF-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/20/2017 |
| Last Updated: | 09/20/2017 |
Provider Practice Location
1818 S AVENIDA DEL SOL
TUCSON
AZ
857105319
Practice Location Phone/Fax
| Phone: | 5205845510 |
| Fax: |
Provider Mailing Location
PO BOX 14741
TUCSON
AZ
857324741
Provider Mailing Phone/Fax
| Phone: | 5202052865 |
| Fax: |