Individual
OLIVIA JENICE OLVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
226 FAIRVIEW RD, ELLENWOOD, GA 30294-2704
(800) 381-2195
Mailing address
110 VICTORIA DR, FAYETTEVILLE, GA 30214-1163
(404) 819-2799
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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