Individual
MS. JEAN OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LMT
Contact information
Practice address
617 S TAMIAMI TRAIL, VENICE CHIROPRACTIC, VENICE, FL 34285
(941) 488-6308
Mailing address
PO BOX 51416, SARASOTA, FL 34232-0311
(941) 355-3319
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
C6544
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C6544
BCBS
FL
Enumeration date
01/17/2007
Last updated
07/08/2007
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