Individual
JULIANNE OLMSTEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1651 TOLL GATE DR, MAUMEE, OH 43537-1678
(567) 402-0222
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-1914
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5012
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000210380
ANTHEM
OH
05
—
2308185
—
OH
01
—
341952632-00
WORKERS COMP
OH
Enumeration date
05/02/2007
Last updated
12/09/2024
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