| NPI | 1508147737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IGOR OLEVSKY Licensed Physical Therapist 917-696-8896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 015509) |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2011-09-01 |