Individual
MR. PETER MICHAEL OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, ATC
Contact information
Practice address
58 RANGE RD STE 16, WINDHAM, NH 03087-2026
(603) 890-8844
(603) 890-8845
Mailing address
58 RANGE RD STE 16, WINDHAM, NH 03087-2026
(603) 890-8844
(603) 890-8845
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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