Individual
LORNA OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
614 S ROCK AVE, VIROQUA, WI 54665-1936
(608) 637-2171
Mailing address
E6965 COUNTY ROAD NN, VIROQUA, WI 54665
(608) 675-3356
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1698-27
WI
Other
Enumeration date
05/15/2008
Last updated
05/15/2008
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