Individual
DOUGLAS OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT, CMTPT
Contact information
Practice address
1082 ALMADEN VILLAGE LN, SAN JOSE, CA 95120-3365
(408) 406-1925
Mailing address
1082 ALMADEN VILLAGE LN, SAN JOSE, CA 95120-3365
(408) 406-1925
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
—
—
225700000X
Massage Therapist
Primary
44401
CA
Other
Enumeration date
11/12/2014
Last updated
11/12/2014
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