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NPI Code Detail

MEDICARE: JANET DARLENE OLSON PT, OTR

MEDICARE: JANET DARLENE OLSON PT, OTR
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
1225100000XPhysical Therapist2740MN
2225X00000XOccupational Therapist100338MN

General Provider Information

NPI Number : 1225126527
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANET DARLENE OLSON PT, OTR
Provider Business Mailing Address
First Line : 2399 ARIEL ST N
Second Line : SUITE B
City : MAPLEWOOD
State : MN
Zip : 55109-2203
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 146 LAKE ST N
Second Line :
City : FOREST LAKE
State : MN
Zip : 55025-2518
Country : US
Telephone Number : 651-464-8502
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2006
Last Update Date : 09/11/2025

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