DALE ALBERT OLSON COTA/L NPI 1417336892

NPI Information

NPI: 1417336892
Provider Name: DALE ALBERT OLSON, COTA/L
Classification: Contractor - 171W00000X
Entity Type: Individual
Address:
13620 N 55TH AVE
GLENDALE, AZ
ZIP 85304
Phone: (602) 843-8433
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Dale Albert Olson, COTA/L is a contractor in Glendale, AZ. The provider is a person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). Dale Albert Olson, COTA/L NPI is 1417336892. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

13620 N 55TH AVE
GLENDALE, AZ
ZIP 85304-371
Phone: (602) 843-8433

The enumeration date for this NPI number is 5/19/2015 and was last updated on 9/29/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171W00000X	Contractor				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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