Basic Information
| Provider Information | |||||||||
| NPI: | 1689020604 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | OLSON | ||||||||
| FirstName: | EMILY | ||||||||
| MiddleName: | MAY | ||||||||
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| Mailing Information | |||||||||
| Address1: | 549 BALTIMORE PIKE | ||||||||
| Address2: | BRITON MANOR THERAPY DEPARTMENT | ||||||||
| City: | GLEN MILLS | ||||||||
| State: | PA | ||||||||
| PostalCode: | 193421020 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6103586005 | ||||||||
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| Practice Location | |||||||||
| Address1: | 549 BALTIMORE PIKE | ||||||||
| Address2: | BRITON MANOR THERAPY DEPARTMENT | ||||||||
| City: | GLEN MILLS | ||||||||
| State: | PA | ||||||||
| PostalCode: | 19342 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6103586005 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/09/2016 | ||||||||
| LastUpdateDate: | 05/30/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | OC014404 | PA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | 225X00000X | 357283 | OR | N | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | 225X00000X | OT17529 | CA | N | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
No ID Information.