Provider Demographics
NPI:1508908237
Name:OLSHAN, JOYCE LYNN (OTR)
Entity Type:Individual
Prefix:MS
First Name:JOYCE
Middle Name:LYNN
Last Name:OLSHAN
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14008 CALCUTTA DR
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-3304
Mailing Address - Country:US
Mailing Address - Phone:314-434-4260
Mailing Address - Fax:
Practice Address - Street 1:14008 CALCUTTA DR
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-3304
Practice Address - Country:US
Practice Address - Phone:314-434-4260
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO004901225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist