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Individual

ERIN L OLSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
3736 SANDPIPER DR, POCATELLO, ID 83201-5538
(208) 221-7889
Mailing address
3736 SANDPIPER DR, POCATELLO, ID 83201-5538
(208) 221-7889

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
8255910-2402
UT
225200000X
Physical Therapy Assistant
Primary
PTA-412
ID

Other

Enumeration date
04/30/2012
Last updated
04/30/2012
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