Individual
LYNNE DIANE OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3501 DAKOTA AVE, SOUTH SIOUX CITY, NE 68776-3641
(402) 494-3440
Mailing address
4525 PETERS AVE, SIOUX CITY, IA 51106-1939
(712) 276-7306
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
00573
IA
225X00000X
Occupational Therapist
0556
SD
225X00000X
Occupational Therapist
Primary
288
NE
Other
Enumeration date
08/12/2011
Last updated
08/12/2011
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