Individual
CAMI ROSE OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
701 WILLOW STREET, PESHTIGO, WI 54157
(715) 582-3962
(715) 582-0803
Mailing address
701 WILLOW STREET, PESHTIGO, WI 54157
(715) 582-3962
(715) 582-0803
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1790
WI
Other
Enumeration date
07/28/2011
Last updated
01/23/2015
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