Individual
JENSEN OLIVIA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
3100 DURALEIGH RD STE 100, RALEIGH, NC 27612-8105
(919) 763-1500
(919) 763-1055
Mailing address
PO BOX 5105, BELFAST, ME 04915-5100
(919) 220-5255
(919) 220-6971
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
09940
MD
225X00000X
Occupational Therapist
Primary
15210
NC
Other
Enumeration date
09/21/2022
Last updated
03/05/2025
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