Individual
KATHRYN HERZOG OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7225 UNIVERSITY AVE NE, FRIDLEY, MN 55432-3134
(763) 236-2150
(763) 236-2155
Mailing address
11632 NORWAY CT, CHAMPLIN, MN 55316-2623
(763) 427-7106
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
4733
MN
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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