Richard W Olsen, PTA

NPI #1770832743 in Riverwoods, Illinois

Provider Information

NPI Number: 1770832743
Entity Type: Individual
Name: Richard W Olsen, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Sep 5, 2012
Last Updated: Sep 5, 2012

Practice Location

Address: 1560 INDIAN TRAIL DR
City: Riverwoods
State: Illinois
ZIP Code: 60015-1627
Phone: (847) 945-1917

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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