Individual
ALYSSA OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
121 HORN ST, HOLLOWAY, MN 56249-1192
(651) 380-8700
Mailing address
121 HORN ST, PO BOX 124, HOLLOWAY, MN 56249-1192
(651) 380-8700
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
076734
IA
224Z00000X
Occupational Therapy Assistant
202072
MN
224Z00000X
Occupational Therapy Assistant
3058
CA
Other
Enumeration date
12/01/2015
Last updated
12/01/2015
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