Individual
MRS. KIMBERLY ANN OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
10032 N 109TH AVE, SUN CITY, AZ 85351-4323
(623) 974-4280
Mailing address
10032 N 109TH AVE, SUN CITY, AZ 85351-4323
(623) 974-4280
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2296
AZ
Other
Enumeration date
04/09/2011
Last updated
04/09/2011
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