Provider Demographics
NPI:1225528722
Name:OLSEN, HANNAH KATHARINE (MS OTR/L)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:KATHARINE
Last Name:OLSEN
Suffix:
Gender:F
Credentials:MS OTR/L
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:KATHARINE
Other - Last Name:WOLCOTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS OTR/L
Mailing Address - Street 1:400 ANN ST NW STE 106A
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49504-2053
Mailing Address - Country:US
Mailing Address - Phone:616-591-2905
Mailing Address - Fax:
Practice Address - Street 1:400 ANN ST NW STE 106A
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49504-2053
Practice Address - Country:US
Practice Address - Phone:616-591-2905
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-10
Last Update Date:2018-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5201008629225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics