NPI | 1053803866 |
---|---|
Former Name | MORGAN LEE OLSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: ND 2139) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 11119) |
Enumeration Date | 2018-06-06 |
Last Update Date | 2019-07-08 |