| NPI | 1639437619 |
|---|---|
| Former Name | JAYECE R. OLSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 767) |
| Additional Taxonomies | 174400000X Specialist (Licence: AZ 9001) |
| Enumeration Date | 2012-04-27 |
| Last Update Date | 2013-02-20 |