Jonathon Olesen ATC
Athletic Trainer in Portland, ME(View on Map)
Full Name
Jonathon Olesen ATC
NPI Number
1316378581
NPI Type
Individual Provider
Gender
Male
Enumeration Date
12/12/2013
Specialties
(Taxonomies)Licenses
State
Maine
License Number
AT454
Contact
Information
Purpose
Mailing
Location
Address
10 COPLEY WOODS CIR
33 SEWALL ST
City
Portland
Portland
State
ME
ME
Postal Code
04103-4324
04102-2603
Country
US
US
Telephone Number
(207) 838-4506
(207) 828-2100
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 12/12/2013