Healthcare Provider Details

I. General information

NPI: 1326832627
Provider Name (Legal Business Name): OLO PHYSICAL THERAPY AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2025
Last Update Date: 04/09/2025
Certification Date: 04/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

680 STATE CIR
ANN ARBOR MI
48108-1646
US

IV. Provider business mailing address

680 STATE CIR
ANN ARBOR MI
48108-1646
US

V. Phone/Fax

Practice location:
  • Phone: 734-707-7285
  • Fax:
Mailing address:
  • Phone: 734-707-7285
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH OLOFSSON
Title or Position: OWNER OPERATOR
Credential: PT, DPT
Phone: 734-707-7285