Individual
KRISTY LOU OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
845 UPPER FORDS CREEK RD, OROFINO, ID 83544-6218
(360) 306-0014
Mailing address
845 UPPER FORDS CREEK RD, OROFINO, ID 83544-6218
(360) 306-0014
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-1510
ID
Other
Enumeration date
10/13/2015
Last updated
10/13/2015
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