MEDICARE: DANIEL OLSON

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	225100000X	Physical Therapist	PT3741	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PT3741	OTHER	FL	LICENSE

General Provider Information

NPI Number	:	1538279443
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL OLSON

Provider Business Mailing Address
First Line	:	445 HILLSDALE CT
Second Line	:
City	:	LAKE MARY
State	:	FL
Zip	:	32746-3717
Country	:	US
Telephone Number	:	407-330-0598
Fax Number	:

Provider Business Practice Location Address
First Line	:	4106 W LAKE MARY BLVD STE 320
Second Line	:
City	:	LAKE MARY
State	:	FL
Zip	:	32746-3344
Country	:	US
Telephone Number	:	407-330-3971
Fax Number	:

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

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	04/04/2026

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Directions to “ DANIEL OLSON ” Practice Location

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