Individual
DR. MARK OLMSTED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
11937 MANCHESTER RD, DES PERES, MO 63131-4502
(314) 822-4400
(314) 822-4111
Mailing address
11937 MANCHESTER RD, DES PERES, MO 63131-4502
(314) 822-4400
(314) 822-4111
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2007028026
MO
Other
Enumeration date
05/01/2008
Last updated
05/01/2008
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