NPI 1841450251

Jessica Olson

Practitioner Occupational Therapy Assistant Moscow, ID

Practice location

Address: 420 Rowe St, Moscow, ID 83843-9319
Phone: (208) 882-4576

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence OTA-208 (ID)

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Registry record

NPI: 1841450251
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Jun 2008
Record last updated: 10 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.