Chassie Le Olson, LPTA

NPI #1861793622 in Crivitz, Wisconsin

Provider Information

NPI Number: 1861793622
Entity Type: Individual
Name: Chassie Le Olson, LPTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: LPTA
Enumeration Date: Nov 10, 2010
Last Updated: Nov 10, 2010

Practice Location

Address: 903 MAIN AVE
City: Crivitz
State: Wisconsin
ZIP Code: 54114-1619
Phone: (715) 854-2717

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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