Olsen, Julie

Olsen, Julie is an individual health care provider with primary practice located at 3117 Shore Drive Suite 101, Marinette WI 54143. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Olsen, Julie can be contacted via phone (715) 732-5111.

Contact Information

Primary practice address
3117 Shore Drive Suite 101 Marinette WI 54143
Phone: (715) 732-5111
Fax: (715) 732-0628
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 38919 Wisconsin

Profile Details

NPI number 1992887830
LBN Legal business name Olsen, Julie
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2006
Last updated Feb 21st, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992887830 NPPES
Wisconsin MEDICAID 40391600

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