Individual
GARY OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
150 GATEWAY DR STE A150, LINCOLN, CA 95648-3316
(916) 434-9572
(916) 434-9063
Mailing address
5933 MARETA LN, LOOMIS, CA 95650-9557
(916) 205-0809
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
CA
Other
Enumeration date
12/28/2021
Last updated
12/28/2021
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