Provider Demographics
NPI:1801424593
Name:OLVERA, JEANETTE (DPT)
Entity type:Individual
Prefix:DR
First Name:JEANETTE
Middle Name:
Last Name:OLVERA
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2465 OAK CREST DR
Mailing Address - Street 2:
Mailing Address - City:TURLOCK
Mailing Address - State:CA
Mailing Address - Zip Code:95382-8811
Mailing Address - Country:US
Mailing Address - Phone:209-656-9473
Mailing Address - Fax:
Practice Address - Street 1:2465 OAK CREST DR
Practice Address - Street 2:
Practice Address - City:TURLOCK
Practice Address - State:CA
Practice Address - Zip Code:95382-8811
Practice Address - Country:US
Practice Address - Phone:209-656-9473
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-30
Last Update Date:2020-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy