Olson, Preston Russell

Olson, Preston Russell is an sole proprietor health care provider with primary practice located at 3340 Overlook Rd , Davie FL 33328-7144. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Olson, Preston Russell can be contacted via phone (954) 224-2649.

Contact Information

Primary practice address
3340 Overlook Rd Davie FL 33328-7144
Phone: (954) 224-2649
Fax: (954) 252-2149
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT19749 Florida

Profile Details

NPI number 1134260862
LBN Legal business name Olson, Preston Russell
Credentials DPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2007
Last updated Sep 19th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134260862 NPPES
Florida MEDICAID 887061600

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