IndividualActive
Dale Olson, COTA/L
NPI 1417336892 · Contractor · Glendale, AZ
Provider details
- NPI number
- 1417336892
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Credential
- COTA/L
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
13620 N 55th Ave
Glendale, AZ 85304-1371
Phone: (602) 843-8433
Approximate (ZIP-level) locationGet directions
Mailing address
13620 N 55th Ave
Glendale, AZ 85304-1371
Registry dates
- Enumerated
- 2015-05-19
- Last updated
- 2015-09-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.