Individual
AMY OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2815 NEW PINERY RD STE 1, PORTAGE, WI 53901-9257
(608) 745-6290
Mailing address
6205 WILLIAMSBURG WAY APT 217, DEFOREST, WI 53532-9123
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14167-24
WI
Other
Enumeration date
07/15/2019
Last updated
07/15/2019
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