Individual
DANIEL OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1919 68TH AVE, GREELEY, CO 80634-8061
(970) 304-1919
Mailing address
3007 STANFORD RD, FORT COLLINS, CO 80525-2520
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL.0012631
CO
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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