NPI | 1285292896 |
---|---|
Former Name | CHELSEA OLSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 15614) |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2019-05-30 |
Last Update Date | 2024-03-14 |