Individual
CHRISTOPHER L OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
800 DES PLAINES AVE, FOREST PARK, IL 60130-2035
(708) 366-2442
Mailing address
3319 DAVIS AVE, SIOUX CITY, IA 51106-2260
(712) 389-4285
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1197078
TX
225100000X
Physical Therapist
Primary
27937
FL
225100000X
Physical Therapist
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00931613
MEDICARE RAILROAD
IL
01
—
PT27937
PHYSICAL THERAPIST
FL
Enumeration date
07/12/2010
Last updated
01/15/2013
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