Individual
TODD ALLEN OLESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2558 S BRENTWOOD BLVD, SAINT LOUIS, MO 63144-2309
(314) 961-8940
(314) 961-8969
Mailing address
1958A WITHNELL AVE, SAINT LOUIS, MO 63118-2517
(314) 420-5179
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2023028468
MO
Other
Enumeration date
02/08/2024
Last updated
02/08/2024
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