Individual
CLARICE OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 779-3366
Mailing address
46 W BADGER CREEK TRL, FLAGSTAFF, AZ 86005-8386
(409) 599-1664
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
13598A
AZ
Other
Enumeration date
03/02/2018
Last updated
03/17/2018
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