Individual
DEREK S OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
302169
CA
225100000X
Physical Therapist
Primary
65111
OR
225100000X
Physical Therapist
—
IL
225100000X
Physical Therapist
—
—
Other
Enumeration date
04/20/2021
Last updated
05/08/2024
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