Individual
MRS. STACEY RENEE OLSEN-PATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1305 BOILING SPRINGS RD, GREER, SC 29650-4139
(864) 458-7566
Mailing address
201 STURBRIDGE DR, GREENVILLE, SC 29615-4458
(864) 284-0357
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1772
SD
Other
Enumeration date
06/17/2008
Last updated
06/17/2008
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