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Individual

MS. NAOMI RUTH OLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.A.

Contact information

Practice address
706 BRATLEY DR, WASHBURN, WI 54891-1143
(715) 373-5621
Mailing address
706 BRATLEY DR, WASHBURN, WI 54891-1143
(715) 373-5621

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
597-019
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
401-406-00
WI
Enumeration date
04/22/2008
Last updated
04/22/2008
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