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Individual

MRS. DIANNE B OLSZAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
4901 DEERFOOT PKWY, TRUSSVILLE, AL 35173-2697
(205) 661-0810
(205) 661-9841
Mailing address
PO BOX 175, TRUSSVILLE, AL 35173-0175
(205) 661-0810
(205) 661-9841

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PTH1561
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
515010150
BLUE CROSS BLUE SHIELD
AL
01
51510149
BLUE CROSS BLUE SHIELD
AL
01
650024766
RAILROAD MEDICARE
AL
Enumeration date
07/08/2006
Last updated
08/26/2008
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