Individual
MS. DONNA MARIE OLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
55 JIMA CT, FORT MYERS, FL 33912-6345
(239) 357-7357
Mailing address
55 JIMA COURT, FORT MYERS, FL 33912
(239) 357-7357
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
388
NY
Other
Enumeration date
04/02/2009
Last updated
04/02/2009
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