Provider Demographics
NPI:1548949647
Name:RASK, OLIVIA P (COTA/L)
Entity type:Individual
Prefix:
First Name:OLIVIA
Middle Name:P
Last Name:RASK
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8954 PIGEON ROOST RD
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OH
Mailing Address - Zip Code:45133-8998
Mailing Address - Country:US
Mailing Address - Phone:606-922-1309
Mailing Address - Fax:
Practice Address - Street 1:141 WILLETSVILLE PIKE
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OH
Practice Address - Zip Code:45133-9476
Practice Address - Country:US
Practice Address - Phone:937-393-6700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-17
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOTA004462224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant