Individual
TARYN OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
7967 CALUMET AVE, MUNSTER, IN 46321-1215
(219) 513-0092
Mailing address
625 ENTERPRISE DR, OAK BROOK, IL 60523-8813
(630) 575-1980
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05010647A
IN
225100000X
Physical Therapist
070.018598
IL
Other
Enumeration date
08/02/2011
Last updated
09/24/2021
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