| NPI | 1609921154 |
|---|---|
| Former Name | KATIE L OLSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: ME 3000) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: MA 17410) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2011-11-16 |