Provider Demographics
NPI:1689943474
Name:OJEDA, ABEL JR (PT)
Entity Type:Individual
Prefix:
First Name:ABEL
Middle Name:
Last Name:OJEDA
Suffix:JR
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:4930 W KAWEAH CT
Mailing Address - Street 2:STE 203
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93277-8316
Mailing Address - Country:US
Mailing Address - Phone:559-636-1200
Mailing Address - Fax:559-636-1260
Practice Address - Street 1:1870 S CENTRAL ST
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93277-4418
Practice Address - Country:US
Practice Address - Phone:559-636-1200
Practice Address - Fax:559-636-1260
Is Sole Proprietor?:No
Enumeration Date:2011-12-22
Last Update Date:2017-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT385822251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic