Individual
OLIVIA MARIE KROG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2689 HOOVER AVE SE, PORT ORCHARD, WA 98366-3013
(360) 874-7000
Mailing address
5260 E MASON LAKE DR W, GRAPEVIEW, WA 98546-9566
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT.OT.70073016
WA
Other
Enumeration date
02/09/2026
Last updated
02/09/2026
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