James Robert Olson JR., PT ATC

NPI #1396859112 in Shoreview, Minnesota

Provider Information

NPI Number: 1396859112
Entity Type: Individual
Name: James Robert Olson JR., PT ATC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT ATC
Enumeration Date: Aug 18, 2006
Last Updated: Feb 5, 2017

Practice Location

Address: 4625 CHURCHILL STREET
Address 2: MOTIONCARE SHOREVIEW MEDICAL CENTER SUITE 204
City: Shoreview
State: Minnesota
ZIP Code: 55126
Phone: (651) 484-6735

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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