Individual
MRS. CATHY M OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3305C NORTH BALLARD RD., APPLETON, WI 54911-9001
(920) 735-9234
Mailing address
N341 TAMARACK DR., APPLETON, WI 54915
(920) 687-9074
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
388-019
WI
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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