Individual
MS. INGRID ADAMS OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T., P.A.-C
Contact information
Practice address
377 N FAIRGROUNDS RD, PRICE, UT 84501-4208
(143) 561-3220
(143) 561-3220
Mailing address
377 N FAIRGROUNDS RD, PRICE, UT 84501-4208
(143) 561-3220
(143) 561-3220
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
6161
AZ
363AM0700X
Medical Physician Assistant
Primary
295070-1206
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DF8294
RAILROAD MEDICARE
UT
Enumeration date
09/10/2007
Last updated
12/01/2010
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