Individual
MR. BRUCE LYNN OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
500 E VETERANS ST, TOMAH, WI 54660-3105
(608) 372-1773
Mailing address
1353 VAN BUREN ST, BLACK RIVER FALLS, WI 54615-1916
(715) 284-2756
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1247
WI
Other
Enumeration date
05/27/2008
Last updated
05/27/2008
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