Individual
MELISSA OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IS
Contact information
Practice address
1262 STEVENS DR, IDAHO FALLS, ID 83401-3577
(208) 521-5816
Mailing address
1262 STEVENS DR, IDAHO FALLS, ID 83401-3577
(208) 521-5816
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
03/23/2022
Last updated
03/23/2022
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