Provider Demographics
NPI:1043453780
Name:OLEJNIK, BARBARA (OT)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:OLEJNIK
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2990 HOLME AVE
Mailing Address - Street 2:IMMACULATE MARY HOME
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19136-1830
Mailing Address - Country:US
Mailing Address - Phone:215-992-1861
Mailing Address - Fax:215-335-1335
Practice Address - Street 1:2990 HOLME AVE
Practice Address - Street 2:IMMACULATE MARY HOME
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19136-1830
Practice Address - Country:US
Practice Address - Phone:215-992-1861
Practice Address - Fax:215-335-1335
Is Sole Proprietor?:No
Enumeration Date:2009-04-10
Last Update Date:2009-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC008794225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist