Individual
ERIC I OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
840 E HILL AVE, MOSES LAKE, WA 98837-2238
(509) 765-0216
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00008136
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0169633
L&I
WA
05
—
8331134
—
WA
Enumeration date
07/17/2006
Last updated
07/08/2007
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