Provider Demographics
NPI:1437539269
Name:OLSEN, TONA (MSOTR/L)
Entity Type:Individual
Prefix:
First Name:TONA
Middle Name:
Last Name:OLSEN
Suffix:
Gender:F
Credentials:MSOTR/L
Other - Prefix:
Other - First Name:TONA
Other - Middle Name:
Other - Last Name:WINTERBOTTOM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:47 PARK ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02474-3313
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:90 WEST ST
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:MA
Practice Address - Zip Code:01887-3039
Practice Address - Country:US
Practice Address - Phone:978-658-2700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-06
Last Update Date:2015-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8062225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist