DALE OLSON, COTA/L

Contractor

Active Individual
NPI: 1417336892

Practice Address

13620 N 55TH AVE
Glendale, AZ 85304

Phone: (602) 843-8433

Specialties

Specialty Code Primary License
Contractor 171W00000X Yes -

Frequently Asked Questions

NPI 1417336892 is the National Provider Identifier for DALE OLSON, COTA/L, a Contractor provider located in Glendale, AZ. This NPI was enumerated on May 19, 2015.
DALE OLSON, COTA/L practices at 13620 N 55TH AVE, Glendale, AZ 85304.

Quick Facts

NPI
1417336892
Type
Individual
Enumerated
May 19, 2015
Last Updated
Sep 29, 2015

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