Provider Demographics
NPI:1659195196
Name:OLOSAN, MARGARETTE (PHYSICAL THERAPIST)
Entity type:Individual
Prefix:
First Name:MARGARETTE
Middle Name:
Last Name:OLOSAN
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 TWINPINES ST
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71901-7923
Mailing Address - Country:US
Mailing Address - Phone:501-297-3988
Mailing Address - Fax:
Practice Address - Street 1:4328 CENTRAL AVE STE E
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71913-5907
Practice Address - Country:US
Practice Address - Phone:501-525-5888
Practice Address - Fax:501-525-5897
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-12
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPT1172225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist