Individual
MISS ESTHER JEAN OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7540 N 19TH AVE, PHOENIX, AZ 85021-7967
(888) 873-4221
Mailing address
3428 N D ST, SAN BERNARDINO, CA 92405-2418
(909) 882-5177
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT 5483
CA
Other
Enumeration date
07/03/2007
Last updated
07/08/2007
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