Individual
JERALD RICHARD OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1875 N LAKEWOOD DR STE 101, COEUR D ALENE, ID 83814-4928
(208) 667-6264
(208) 664-4313
Mailing address
1875 N LAKEWOOD DR STE 101, COEUR D ALENE, ID 83814-4928
(208) 667-6264
(208) 664-4313
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3326
ID
Other
Enumeration date
08/07/2013
Last updated
07/21/2022
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