Individual
MS. JANE OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.O.T.A
Contact information
Practice address
15015 10TH ST N, STILLWATER, MN 55082-2010
(651) 436-2724
Mailing address
15015 10TH ST N, STILLWATER, MN 55082-2010
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
201487
MN
Other
Enumeration date
11/22/2015
Last updated
11/22/2015
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