Doctor Name: | STEFANIE OLIN |
NPI Number: | 1104140896 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, DPT, OCS |
License Number: | 030499-1 |
Business Practice Address: | 1979 Marcus Ave Ste 204 New Hyde Park, NY - 110421002 |
Business Phone Number: | 5163274681 |
Business Fax Number: | 5163274684 |
Mailing Address: | 1979 Marcus Ave Ste 204, NEW HYDE PARK |
State: | NY |
Postal Code: | 110421002 |
Phone Number: | 5163274681 |
Fax Number: | 5163274684 |
NPI Enumeration Date: | 03/24/2010 |
NPI Last Update Date: | 10/14/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 030499-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
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 |