Provider Demographics
NPI:1700458080
Name:OLMSCHENK, DANIEL JAMES (DPT)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:JAMES
Last Name:OLMSCHENK
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1218 JOHN FOWLER RD
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:VT
Mailing Address - Zip Code:05667-9392
Mailing Address - Country:US
Mailing Address - Phone:651-210-8403
Mailing Address - Fax:
Practice Address - Street 1:47 MAGGIES POND RD
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:VT
Practice Address - Zip Code:05841-8800
Practice Address - Country:US
Practice Address - Phone:802-533-7051
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-15
Last Update Date:2021-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT040.0134166208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation