Whalio Doctors

NPI 1932421302

Ralph Olsen, VANDRIVER

Practitioner Early Intervention Provider Agency Trumann, AR

Practice location

Address
1005 Balcom Ln, Trumann, AR 72472-9502
Phone
(870) 483-1461

Registered specialties

Early Intervention Provider Agency Primary
Agencies Taxonomy 252Y00000X Licence 252Y00000X (AR)

Registry record

NPI
1932421302
Entity type
Individual
Sex (as registered)
Male
NPI issued
25 Feb 2010
Record last updated
25 Feb 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.