Provider Demographics
NPI:1982729018
Name:OLSSON, RAMONA WALLS (RPT)
Entity Type:Individual
Prefix:MRS
First Name:RAMONA
Middle Name:WALLS
Last Name:OLSSON
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 HILL DR
Mailing Address - Street 2:
Mailing Address - City:STEEP FALLS
Mailing Address - State:ME
Mailing Address - Zip Code:04085-6856
Mailing Address - Country:US
Mailing Address - Phone:207-675-3248
Mailing Address - Fax:
Practice Address - Street 1:2 HILL DR
Practice Address - Street 2:
Practice Address - City:STEEP FALLS
Practice Address - State:ME
Practice Address - Zip Code:04085-6856
Practice Address - Country:US
Practice Address - Phone:207-675-3248
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPT125225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist