# OLIVE & MAGNOLIA OCCUPATIONAL THERAPY SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Olive & Magnolia Occupational Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760231898
- **Authorized official:** MS. AISLINN MASON OTR/L (OT; BUSINESS OWNER)
- **Authorized official phone:** (678) 758-9127

## Contact information

- **Practice address:** 3788 NE 4TH ST APT J308, RENTON, WA 98056-8484
- **Practice address phone:** (678) 758-9127
- **Mailing address:** 3788 NE 4TH ST APT J308, RENTON, WA 98056-8484
- **Mailing address phone:** (678) 758-9127

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225XM0800X | Mental Health Occupational Therapist | — | NULL | Yes |
| 225XM0800X | Mental Health Occupational Therapist | — | — | Yes |
| 225XP0200X | Pediatric Occupational Therapist | — | NULL | — |
| 225XP0200X | Pediatric Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 05/13/2024
- **Last updated:** 05/13/2024