Provider Demographics
NPI:1477759595
Name:OLSON, KARLA JO (MOT)
Entity Type:Individual
Prefix:
First Name:KARLA
Middle Name:JO
Last Name:OLSON
Suffix:
Gender:F
Credentials:MOT
Other - Prefix:
Other - First Name:KARLA
Other - Middle Name:JO
Other - Last Name:ROBERTS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5527 E 15TH AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99212-3204
Mailing Address - Country:US
Mailing Address - Phone:509-995-7776
Mailing Address - Fax:
Practice Address - Street 1:222 S EVERGREEN RD
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99216-0834
Practice Address - Country:US
Practice Address - Phone:509-928-2222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-25
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT00003340225X00000X
WAOT3340225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist