Individual
WILLIAM OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1849 CHERRY RD, MANISTEE, MI 49660-9173
(231) 510-4892
Mailing address
1849 CHERRY RD, MANISTEE, MI 49660-9173
(231) 510-4892
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502005027
MI
Other
Enumeration date
02/23/2017
Last updated
02/23/2017
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