Individual
LANNIE OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TRT
Contact information
Practice address
455 W MILL RD, FERRON, UT 84523-4526
(435) 384-3516
Mailing address
PO BOX 152, FERRON, UT 84523-0152
(435) 609-6543
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
12813190-4003
UT
Other
Enumeration date
06/06/2024
Last updated
06/06/2024
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