Individual
EMILY NICOLE OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
149 N MAIN ST, FAIRPORT, NY 14450-1434
(585) 377-2230
Mailing address
34 DELEMERE BLVD, FAIRPORT, NY 14450-9373
(585) 469-1856
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
022687
NY
Other
Enumeration date
07/18/2018
Last updated
07/18/2018
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