Doctor Name: | NICOLE OLSEN |
NPI Number: | 1740439470 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 13048 |
Business Practice Address: | 1618 Millenium Way Ste 210 Meridian, ID - 836426439 |
Business Phone Number: | 2088844647 |
Business Fax Number: | 2088848984 |
Mailing Address: | 1618 Millenium Way, Ste 210 MERIDIAN |
State: | ID |
Postal Code: | 836426439 |
Phone Number: | 2088844647 |
Fax Number: | 2088848984 |
NPI Enumeration Date: | 09/18/2008 |
NPI Last Update Date: | 08/07/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 13048 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |