Individual
SAMANTHA OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
91 MAIN ST STE 122, WARREN, RI 02885-4437
(401) 289-2999
Mailing address
4 RICHMOND SQ STE 200, PROVIDENCE, RI 02906-5117
(401) 433-4172
(401) 433-0612
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
22095
MA
225100000X
Physical Therapist
Primary
PT03228
RI
Other
Enumeration date
12/11/2015
Last updated
12/29/2021
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