Individual
MRS. JILL ANNE OLSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2360 MULLAN RD, STE. D, PEAK PERFORMANCE PT, PC,, MISSOULA, MT 59808-1811
(406) 542-0808
(406) 542-0909
Mailing address
2360 MULLAN RD, STE. D, MISSOULA, MT 59808-1811
(406) 542-0808
(406) 542-0909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
379
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000348127
—
MT
01
—
61425
BLUE CROSS PT NUMBER
MT
Enumeration date
03/31/2006
Last updated
07/09/2007
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