| Doctor Name: | MR. ANDRIY A KUZNETSOV |
| NPI Number: | 1023252574 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | PT 35419 |
| Business Practice Address: | 14445 Olive View Dr Sylmar, CA - 913421437 |
| Business Phone Number: | 8183644245 |
| Business Fax Number: | |
| Mailing Address: | 21040 Parthenia St, Unit 40 CANOGA PARK |
| State: | CA |
| Postal Code: | 913042060 |
| Phone Number: | 3109224702 |
| Fax Number: | |
| NPI Enumeration Date: | 04/28/2009 |
| NPI Last Update Date: | 04/18/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT 35419 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |