Individual
MR. STEPHEN PRESTON OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTRL
Contact information
Practice address
3060 FRONTIER WAY S, FARGO, ND 58104-8909
(701) 232-2340
Mailing address
3060 FRONTIER WAY S, FARGO, ND 58104-8909
(701) 232-2340
(701) 232-2330
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
102480
MN
225XP0200X
Pediatric Occupational Therapist
Primary
662
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24652
BCBS ND PROVIDER NUM.
ND
01
—
371G3OL
BCBS MN PROVIDER NUM.
MN
01
—
371GOL
EPNI POV. NUM.
ND
01
—
54885
NDMA PROVIDER NUMBER
ND
01
—
HP50728
HEALTH PARTNERS PROV NUM
ND
Enumeration date
01/08/2007
Last updated
01/17/2019
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