Individual
MRS. KIZMI LEVENS OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
8128 E FLORENTINE RD STE A, PRESCOTT VALLEY, AZ 86314-8484
(928) 775-6811
Mailing address
2625 E. OLD MINER RD, PRESCOTT, AZ 86303
(620) 714-0451
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10229
AZ
Other
Enumeration date
10/22/2010
Last updated
02/04/2014
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