JERALD RICHARD OLSEN

COEUR D ALENE, ID
NPI1215369764
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  3326)
Enumeration Date2013-08-07
Last Update Date2022-07-21
Business Address
-- JERALD RICHARD OLSEN DPT
1875 N LAKEWOOD DR STE 101
COEUR D ALENE, ID 83814-4928
Phone number: 208-667-6264
Mailing Address
-- JERALD RICHARD OLSEN DPT
1875 N LAKEWOOD DR STE 101
COEUR D ALENE, ID 83814-4928
Phone number: 208-667-6264