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Individual

JAMIE OLSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTD, OTR/L

Contact information

Practice address
6400 LAUREL CANYON BLVD, SUITE 560, NORTH HOLLYWOOD, CA 91606-1571
(818) 763-0136
(818) 763-3838
Mailing address
5706 FAIR AVE, #211, NORTH HOLLYWOOD, CA 91601-1991
(818) 690-2073

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
12477
CA

Other

Enumeration date
10/19/2012
Last updated
10/19/2012
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