Individual
MRS. ANN SULLIVAN OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
20402 N 15TH AVE, PHOENIX, AZ 85027-3636
(623) 445-4952
Mailing address
40909 N HARBOUR TOWN WAY, ANTHEM, AZ 85086-1822
(623) 533-4826
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6893
AZ
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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