Olson, Preston Russell
Olson, Preston Russell is an sole proprietor health care provider with primary practice located at 3340 Overlook Rd , Davie FL 33328-7144. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Olson, Preston Russell can be contacted via phone (954) 224-2649.Contact Information
Primary practice address
3340 Overlook Rd
Davie FL 33328-7144
Phone: (954) 224-2649
Fax: (954) 252-2149
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT19749 | Florida |
Profile Details
| NPI number | 1134260862 |
|---|---|
| LBN Legal business name | Olson, Preston Russell |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 8th, 2007 |
| Last updated | Sep 19th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134260862 | NPPES |
| Florida | MEDICAID | 887061600 |
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