Provider Demographics
NPI:1992997118
Name:OLSEN, JANET LEE (ATC)
Entity type:Individual
Prefix:MRS
First Name:JANET
Middle Name:LEE
Last Name:OLSEN
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 CORAZON DEL ORO
Mailing Address - Street 2:
Mailing Address - City:RANCHO SANTA MARGARITA
Mailing Address - State:CA
Mailing Address - Zip Code:92688-2688
Mailing Address - Country:US
Mailing Address - Phone:949-589-0557
Mailing Address - Fax:949-451-5616
Practice Address - Street 1:6 CORAZON DEL ORO
Practice Address - Street 2:
Practice Address - City:RANCHO SANTA MARGARITA
Practice Address - State:CA
Practice Address - Zip Code:92688-2688
Practice Address - Country:US
Practice Address - Phone:949-589-0557
Practice Address - Fax:949-451-5616
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-11
Last Update Date:2007-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer