Individual
ERIC OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.A.
Contact information
Practice address
911 MEALS AVE, VALDEZ, AK 99686-0550
(907) 835-2249
Mailing address
PO BOX 1292, VALDEZ, AK 99686-1292
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1694
AK
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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