Basic Information
| Provider Information | |||||||||
| NPI: | 1417992348 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | JOPLIN | ||||||||
| FirstName: | OLGA | ||||||||
| MiddleName: | MILOSAVLJEVIC | ||||||||
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| Credential: | MPA,OTR,PTA,CHT,CDE, | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8814 N 6TH ST | ||||||||
| Address2: | |||||||||
| City: | FRESNO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 937201711 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5594324527 | ||||||||
| FaxNumber: | 5592286911 | ||||||||
| Practice Location | |||||||||
| Address1: | 2615 E CLINTON AVE | ||||||||
| Address2: | REHAB 117 | ||||||||
| City: | FRESNO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 937032223 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5592256100 | ||||||||
| FaxNumber: | 5592286911 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/17/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WD0400X | 09420354 | CA | X | Nursing Service Providers | Registered Nurse | Diabetes Educator | 163WW0000X | 0014 | CA | X | Nursing Service Providers | Registered Nurse | Wound Care | 211D00000X | 1212 | CA | X | Podiatric Medicine & Surgery Service Providers | Assistant, Podiatric | 225200000X | AT3138 | CA | X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapy Assistant | 225XH1200X | 9105000578 | CA | X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Hand |
No ID Information.