Individual
SAMUEL OLSEN OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1810 CHARTWELL DR, TRAVERSE CITY, MI 49696-9283
(231) 929-2354
Mailing address
1810 CHARTWELL DR, TRAVERSE CITY, MI 49696-9283
(231) 929-2354
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201010125
MI
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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