Individual
RICHARD W OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1560 INDIAN TRAIL DR, RIVERWOODS, IL 60015-1627
(847) 945-1917
Mailing address
12513 SHENANDOAH TRL, PLAINFIELD, IL 60585-4709
(815) 782-7223
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.002229
IL
Other
Enumeration date
09/05/2012
Last updated
09/05/2012
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