Eleanore A Olson, OT

Individual provider Active NPI Occupational Therapist · Fall City, WA

NPI 1023223153 · NPPES record last updated Jun 11, 2015

Key facts

NPI
1023223153
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
OT00004215 (WA)
Practice address
3913 324TH Ave SE
Fall City, WA 98024-7700
Phone
(425) 830-8768
Fax
(425) 952-0451
NPI assigned
May 11, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
OT00004215WAMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT00004215 WA Yes

Addresses

Primary practice location

3913 324TH Ave SE
Fall City, WA 98024-7700

Mailing address

PO Box 751
Fall City, WA 98024-0751
Phone (425) 830-8768

Other providers in Fall City, WA

All providers in Fall City, WA · Occupational Therapist in Washington

Sources for this page

Verify at the official NPI Registry.