| NPI | 1861886574 |
|---|---|
| Former Name | OLGA NIKOLAENKO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 0016279) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 076025) |
| Enumeration Date | 2015-03-20 |
| Last Update Date | 2024-03-11 |