Individual
MR. PETER SCOTT OLMSTEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, PTA
Contact information
Practice address
635 BROAD ST, NEW LONDON, CT 06320-2543
(860) 447-8558
(860) 447-4552
Mailing address
635 BROAD ST, NEW LONDON, CT 06320-2543
(860) 447-8558
(860) 447-4552
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
000972
CT
2255A2300X
Athletic Trainer
000190
CT
Other
Enumeration date
01/04/2012
Last updated
01/04/2012
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