Eric Olsen, P.T.A.

Individual provider Active NPI Physical Therapy Assistant · Valdez, AK

NPI 1689899080 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1689899080
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
1694 (AK)
Practice address
911 Meals Ave
Valdez, AK 99686-0550
Phone
(907) 835-2249
NPI assigned
Apr 13, 2007
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1694AKMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 1694 AK Yes

Addresses

Primary practice location

911 Meals Ave
Valdez, AK 99686-0550

Mailing address

PO Box 1292
Valdez, AK 99686-1292

Other providers in Valdez, AK

All providers in Valdez, AK · Physical Therapy Assistant in Alaska

Sources for this page

Verify at the official NPI Registry.