| NPI | 1609438308 |
|---|---|
| Former Name | OLGA MEZHEBOVSKY |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 24266) |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2022-04-06 |