| Organization Name: | OSTEOPATHIC TREATMENT CENTER |
| NPI Number: | 1265521538 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DANIEL OLSON (D.O.) |
| Mailing Address: | 2050 S Main St Unit A Delta |
| State: | CO US |
| Postal Code: | 814162407 |
| Phone Number: | 9702408822 |
| Fax Number: | 9702408823 |
| NPI Enumeration Date: | 10/12/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 30332 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |