Individual
RAYMOND OLSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1754 N BASSWOOD CT, ANDOVER, KS 67002-7514
(713) 818-2332
Mailing address
1754 N BASSWOOD CT, ANDOVER, KS 67002-7514
(713) 818-2332
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
14-02616
KS
Other
Enumeration date
06/16/2015
Last updated
06/16/2015
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