Provider Demographics
NPI:1417992348
Name:JOPLIN, OLGA MILOSAVLJEVIC (MPA,OTR,PTA,CHT,CDE,)
Entity Type:Individual
Prefix:
First Name:OLGA
Middle Name:MILOSAVLJEVIC
Last Name:JOPLIN
Suffix:
Gender:F
Credentials:MPA,OTR,PTA,CHT,CDE,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8814 N 6TH ST
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-1711
Mailing Address - Country:US
Mailing Address - Phone:559-432-4527
Mailing Address - Fax:559-228-6911
Practice Address - Street 1:2615 E CLINTON AVE
Practice Address - Street 2:REHAB 117
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93703-2223
Practice Address - Country:US
Practice Address - Phone:559-225-6100
Practice Address - Fax:559-228-6911
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA09420354163WD0400X
CA0014163WW0000X
CA1212211D00000X
CAAT3138225200000X
CA9105000578225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator
Not Answered163WW0000XNursing Service ProvidersRegistered NurseWound Care
Not Answered211D00000XPodiatric Medicine & Surgery Service ProvidersAssistant, Podiatric
Not Answered225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant
Not Answered225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand