Individual
JACKIE OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2300 CONGRESSIONAL LN, RIVERWOODS, IL 60015-3806
(224) 515-9060
Mailing address
2836 BERMAN RD, NORTH AURORA, IL 60542-2047
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.003504
IL
Other
Enumeration date
01/11/2012
Last updated
01/11/2012
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