Individual
KRISTINE IRENE OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
404 E 8TH ST, FIRTH, NE 68358-6084
(615) 896-6400
Mailing address
8801 TRUCHARD RD, LINCOLN, NE 68526-9719
(402) 570-0042
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
360
NE
Other
Enumeration date
07/11/2007
Last updated
07/11/2007
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