MEDICARE: MS. MARGARET FRANCES OLSON PTA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225200000X	Physical Therapy Assistant	596-019	WI

General Provider Information

NPI Number	:	1114116928
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARGARET FRANCES OLSON PTA

Provider Business Mailing Address
First Line	:	8902 W STUTH AVE
Second Line	:
City	:	WEST ALLIS
State	:	WI
Zip	:	53227-3746
Country	:	US
Telephone Number	:	414-327-6101
Fax Number	:

Provider Business Practice Location Address
First Line	:	8902 W STUTH AVE
Second Line	:
City	:	WEST ALLIS
State	:	WI
Zip	:	53227-3746
Country	:	US
Telephone Number	:	414-327-6101
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/17/2007
Last Update Date	:	10/17/2007

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