Provider Demographics
NPI:1417992348
Name:JOPLIN, OLGA MILOSAVLJEVIC (MPA,OTR,PTA,CHT,CDE,)
Entity type:Individual
Prefix:
First Name:OLGA
Middle Name:MILOSAVLJEVIC
Last Name:JOPLIN
Suffix:
Gender:F
Credentials:MPA,OTR,PTA,CHT,CDE,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8814 N 6TH ST
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-1711
Mailing Address - Country:US
Mailing Address - Phone:559-432-4527
Mailing Address - Fax:559-228-6911
Practice Address - Street 1:2615 E CLINTON AVE
Practice Address - Street 2:REHAB 117
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93703-2223
Practice Address - Country:US
Practice Address - Phone:559-225-6100
Practice Address - Fax:559-228-6911
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-17
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA09420354163WD0400X
CA0014163WW0000X
CA1212211D00000X
CAAT3138225200000X
CA9105000578225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes211D00000XPodiatric Medicine & Surgery Service ProvidersAssistant, Podiatric
No163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator
No163WW0000XNursing Service ProvidersRegistered NurseWound Care
No225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant
No225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand