Individual
LARS CHRISTIAN OLSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
102 W FULTON ST, EDGERTON, WI 53534-1839
(608) 561-7733
Mailing address
2125 ARTHUR DR, EDGERTON, WI 53534-9426
(608) 346-7880
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15556
WI
Other
Enumeration date
01/17/2022
Last updated
01/17/2022
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