Individual
TIMOTHY OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1801 E UPRIVER DR, SPOKANE, WA 99207-5181
(509) 483-6483
Mailing address
508 W 28TH AVE, SPOKANE, WA 99203-1866
(509) 536-8899
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC60582519
WA
Other
Enumeration date
05/25/2016
Last updated
05/25/2016
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