VSEVOLOD ELKANOVICH

LINCROFT, NJ
NPI1801895446
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: NJ  40QA01095600)
Enumeration Date2005-07-15
Last Update Date2019-11-01
Business Address
VSEVOLOD ELKANOVICH PT
765 NEWMAN SPRINGS RD
LINCROFT, NJ 07738-1543
Phone number: 732-370-4855
Mailing Address
VSEVOLOD ELKANOVICH PT
765 NEWMAN SPRINGS RD
LINCROFT, NJ 07738-1543
Phone number: 732-370-4855