Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALICIA MARIE OLSON
Active Sole ProprietorIntellectual Disabilities Residential Treatment Facility · ZIMMERMAN, MN
Registration Details
- NPI Number
- 1639710593
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 2, 2019 (6.5525471774988 yrs)
- Last Updated
- Oct 2, 2019
- License
-
1101018 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
25844 10TH ST WZIMMERMAN, MN, 553988796Browse MN providers · Browse ZIP 55398
- Phone
- 7632029054
- Primary Specialty
-
Intellectual Disabilities Residential Treatment Facility
320600000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.