Provider Demographics
NPI:1477707560
Name:OLESEN, DANIELLE KASIA (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:DANIELLE
Middle Name:KASIA
Last Name:OLESEN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 LOCUST AVE
Mailing Address - Street 2:
Mailing Address - City:OYSTER BAY
Mailing Address - State:NY
Mailing Address - Zip Code:11771-3508
Mailing Address - Country:US
Mailing Address - Phone:516-922-2517
Mailing Address - Fax:
Practice Address - Street 1:23 LOCUST AVE
Practice Address - Street 2:
Practice Address - City:OYSTER BAY
Practice Address - State:NY
Practice Address - Zip Code:11771-3508
Practice Address - Country:US
Practice Address - Phone:516-922-2517
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-17
Last Update Date:2009-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008382-1225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics