Provider Demographics
NPI:1588103139
Name:SYPCHENKO, OLEYSA (OT)
Entity type:Individual
Prefix:MS
First Name:OLEYSA
Middle Name:
Last Name:SYPCHENKO
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 1:1835 SAVOY DR
Mailing Address - Street 2:SUITE 101B
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30341-1072
Mailing Address - Country:US
Mailing Address - Phone:678-298-9484
Mailing Address - Fax:866-857-8655
Practice Address - Street 1:1835 SAVOY DR
Practice Address - Street 2:SUITE 101B
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30341-1072
Practice Address - Country:US
Practice Address - Phone:678-298-9484
Practice Address - Fax:866-857-8655
Is Sole Proprietor?:No
Enumeration Date:2017-02-15
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI7317225X00000X
GAOT006649225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist