Individual
MR. BRAD RAYMOND OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
67 ATLANTIC HWY, NORTHPORT, ME 04849
(207) 706-6076
(877) 807-8994
Mailing address
16 WEST ST, ROCKPORT, ME 04856-5911
(207) 706-6076
(877) 807-8994
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3210
ME
Other
Enumeration date
08/14/2007
Last updated
06/16/2010
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