Individual
LAUREN BAILEY OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1345 WILSON HALL RD, SUMTER, SC 29150-1890
(803) 469-6900
Mailing address
630 GINHOUSE DR, SUMTER, SC 29154-5900
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3386
SC
Other
Enumeration date
08/14/2019
Last updated
08/14/2019
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