Provider Demographics
NPI:1063955938
Name:ZEBRO, OLIVIA (DC)
Entity type:Individual
Prefix:DR
First Name:OLIVIA
Middle Name:
Last Name:ZEBRO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19881 RUM RIVER BLVD
Mailing Address - Street 2:
Mailing Address - City:ANOKA
Mailing Address - State:MN
Mailing Address - Zip Code:55303-8973
Mailing Address - Country:US
Mailing Address - Phone:763-753-4334
Mailing Address - Fax:
Practice Address - Street 1:19881 RUM RIVER BLVD
Practice Address - Street 2:
Practice Address - City:ANOKA
Practice Address - State:MN
Practice Address - Zip Code:55303-8973
Practice Address - Country:US
Practice Address - Phone:763-753-4334
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-28
Last Update Date:2016-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN6122111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor