Individual
LENA M OLOFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7550 N 16TH ST, PHOENIX, AZ 85020-4618
(602) 371-4100
Mailing address
3060 W LUCIA DR, PHOENIX, AZ 85083-5878
(360) 451-0021
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6581
AZ
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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