Individual
OLIVIA NIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4560 SE INTERNATIONAL WAY STE 100, MILWAUKIE, OR 97222-4628
(907) 441-1511
Mailing address
4405 LINDEN AVE N APT 201, SEATTLE, WA 98103-9203
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60768062
WA
Other
Enumeration date
10/03/2018
Last updated
10/03/2018
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