Individual ProviderMark W OlsonPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address7222 Commerce Center Dr, Suite 100, Colorado Springs, CO 80919-2630(719) 574-5562PECOS EnrollmentBased on the most recent information from CMS, provider Mark W Olson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:41 AM.Profile DetailsProvider ID1467630970Provider TypeIndividualFull NameOlson, Mark WCredentialMPTGenderMaleSole ProprietorNoEnumeration Date2/6/2008Last Updated2/6/2008Contact InformationPractice LocationPractice Address7222 Commerce Center Dr, Suite 100, Colorado Springs, CO 80919-2630Phone(719) 574-5562Fax(719) 471-0445Mailing LocationMailing Address7222 Commerce Center Dr, Suite 100, Colorado Springs, CO 80919-2630Phone(719) 574-5562Fax(719) 471-0445Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense7080Colorado