| NPI | 1467814160 |
|---|---|
| Former Name | OKSANA ZHIVOTENKO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CT 67460) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TN 3920) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2023-05-17 |