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NPI 1225126527

NPI 1225126527 : JANET DARLENE OLSON PT, OTR : FOREST LAKE, MN

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General NPI Number Information
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    NPI Number           |    1225126527
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    Entity Type          |    Individual 
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    Provider Name        |    JANET DARLENE OLSON PT, OTR
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/11/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    146 LAKE ST N 
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    City                 |    FOREST LAKE
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    State                |    MN
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    Zip                  |    55025-2518
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    Country              |    US
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    Telephone            |    651-464-8502
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2399 ARIEL ST N SUITE B
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    City                 |    MAPLEWOOD
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    State                |    MN
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    Zip                  |    55109-2203
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    2740
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    License Number State |    MN
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Taxonomy #2
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    100338
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    License Number State |    MN
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