Individual
MRS. LORI ELLEN OLSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
137 WILDWOOD ST, MANCHESTER, NH 03103-7755
(603) 540-2939
Mailing address
137 WILDWOOD ST, MANCHESTER, NH 03103-7755
(603) 540-2939
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1044
NH
Other
Enumeration date
05/08/2015
Last updated
05/08/2015
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