Provider Demographics
NPI:1457662082
Name:OLSON, MEGAN G (OTR/L)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:G
Last Name:OLSON
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:G
Other - Last Name:TOWNES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3221 SW RAYMOND ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98126-2951
Mailing Address - Country:US
Mailing Address - Phone:605-690-1084
Mailing Address - Fax:
Practice Address - Street 1:797 E 640 N
Practice Address - Street 2:
Practice Address - City:LINDON
Practice Address - State:UT
Practice Address - Zip Code:84042-1647
Practice Address - Country:US
Practice Address - Phone:801-361-9168
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-29
Last Update Date:2010-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA00004455225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist