Individual
ERIC OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
614 S ROCK AVE, VIROQUA, WI 54665-1936
(608) 637-2171
Mailing address
N1668 SERVAIS COLLERN RD, LA CROSSE, WI 54601-2633
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1872-19
WI
225200000X
Physical Therapy Assistant
—
—
Other
Enumeration date
05/03/2018
Last updated
09/16/2021
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