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Individual

SAMANTHA DAISY OLSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
129 E CLAY ST, IRENE, SD 57037-2034
(605) 263-3318
Mailing address
1004 E 18TH ST, YANKTON, SD 57078-2415
(605) 690-7269

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0313
SD

Other

Enumeration date
03/07/2011
Last updated
07/22/2019
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