Niki Olin, COTA

NPI 1740488758 · on the registry since 2007 · sole proprietor

Practice

Address: 2161 Leonard St Nw
Grand Rapids, MI 49504
Phone: (616) 453-7715
Fax: (616) 735-0633
Organisation at this address: St. Ann'S Home
St. Ann'S Home Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 15

Registry record

Primary taxonomy: 224Z00000X
224Z00000X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2007-07-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan