Provider Demographics
NPI:1033909098
Name:MAHARG-BRYANT, OLIVIA JANE
Entity type:Individual
Prefix:
First Name:OLIVIA
Middle Name:JANE
Last Name:MAHARG-BRYANT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:249 S PAINT ST STE 101
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-3831
Mailing Address - Country:US
Mailing Address - Phone:740-600-0588
Mailing Address - Fax:
Practice Address - Street 1:249 S PAINT ST STE 101
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:OH
Practice Address - Zip Code:45601-3831
Practice Address - Country:US
Practice Address - Phone:740-600-0588
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health