Organization
PROMOTING PARTICIPATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELISSA R OLSON M.S. SPED/AT, OTR/L (OCCUPATIONAL THERAPIST)
(860) 798-8638
Entity
Organization
Contact information
Practice address
24 NEW HAMPSHIRE DR, UNIT C9, NEW BRITAIN, CT 06052-1170
(860) 798-8638
Mailing address
24 NEW HAMPSHIRE DR, UNIT C9, NEW BRITAIN, CT 06052-1170
(860) 798-8638
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
002262
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093970519
INDIVIDUAL NPI
CT
Enumeration date
09/02/2010
Last updated
09/02/2010
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