Individual
MS. NICOLE LYNN OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR
Contact information
Practice address
3520 GRAND AVE, DES MOINES, IA 50312-4359
(317) 626-9492
Mailing address
15232 HOLCOMB CIR, CLIVE, IA 50325-4526
(317) 626-9492
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
110782
IA
225X00000X
Occupational Therapist
31005335A
IN
Other
Enumeration date
10/17/2012
Last updated
11/23/2021
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