Individual
JOHANNA ELIZABETH OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8270 WILLOW OAKS CORPORATE DR, FAIRFAX, VA 22031-4511
(571) 423-4161
Mailing address
8270 WILLOW OAKS CORPORATE DR, FAIRFAX, VA 22031-4511
(571) 423-4161
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
100980
TX
235Z00000X
Speech-Language Pathologist
Primary
2202009284
VA
Other
Enumeration date
09/12/2019
Last updated
09/12/2019
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