Provider Demographics
NPI:1861736191
Name:OLDEN, JOI ALANA (DPT)
Entity type:Individual
Prefix:
First Name:JOI
Middle Name:ALANA
Last Name:OLDEN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:JOI
Other - Middle Name:ALANA
Other - Last Name:FREEMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1111 MEDICAL CENTER BLVD STE S750
Mailing Address - Street 2:
Mailing Address - City:MARRERO
Mailing Address - State:LA
Mailing Address - Zip Code:70072-3197
Mailing Address - Country:US
Mailing Address - Phone:504-934-8140
Mailing Address - Fax:504-934-8044
Practice Address - Street 1:1111 MEDICAL CENTER BLVD STE S750
Practice Address - Street 2:
Practice Address - City:MARRERO
Practice Address - State:LA
Practice Address - Zip Code:70072-3197
Practice Address - Country:US
Practice Address - Phone:504-934-8140
Practice Address - Fax:504-934-8044
Is Sole Proprietor?:No
Enumeration Date:2012-11-27
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA10413R225100000X
MD25935225100000X
OH014048225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist