Individual
NINA MAYER OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
37475 BLUESTEM RD E, DAVENPORT, WA 99122-9759
(509) 215-0461
Mailing address
37475 BLUESTEM RD E, DAVENPORT, WA 99122-9759
(509) 215-0461
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OC 00001172
WA
Other
Enumeration date
11/07/2012
Last updated
11/07/2012
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