Melissa Olson, IS

NPI #1073262390 in Idaho Falls, Idaho

Provider Information

NPI Number: 1073262390
Entity Type: Individual
Name: Melissa Olson, IS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Developmental Therapist
Credential: IS
Enumeration Date: Mar 23, 2022
Last Updated: Mar 23, 2022

Practice Location

Address: 1262 STEVENS DR
City: Idaho Falls
State: Idaho
ZIP Code: 83401-3577
Phone: (208) 521-5816

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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