Individual
MS. JULIE OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3117 SHORE DRIVE, SUITE 101, MARINETTE, WI 54143
(715) 732-5111
(715) 732-0628
Mailing address
3100 SHORE DRIVE, MARINETTE, WI 54143
(715) 732-5111
(715) 732-0628
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
38919
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40391600
—
WI
Enumeration date
10/19/2006
Last updated
02/21/2014
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