Individual
MS. VICTORIA MARY OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2705 ENLOE ST, HUDSON, WI 54016-8173
(715) 386-2128
(715) 386-6119
Mailing address
14909 56TH ST N, STILLWATER, MN 55082-6704
(651) 439-0909
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1081
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4774300
—
WI
Enumeration date
09/16/2006
Last updated
07/09/2007
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