| NPI | 1538640032 |
|---|---|
| Other Name | DESIREE LYNN OLSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 9246) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT21366) |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2018-08-23 |