Individual
MR. PETER MICHAEL OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, ATC
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2795
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001665
TRICARE
NH
05
—
0715743
—
MA
01
—
08Y004081NH05
ANTHEM BC/BS
NH
01
—
1227022
AETNA
NH
05
—
30394917
—
NH
01
—
6400248
UNITED HEALTHCARE
NH
01
—
AA51374
HARVARD PILGRIM
NH
01
—
TAX-ID
CIGNA
NH
01
—
VX2303
MEDICARE
NH
Enumeration date
07/07/2005
Last updated
03/26/2008
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