| Doctor Name: | IGOR YATSKAR |
| NPI Number: | 1104848993 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.S., P.T. |
| License Number: | 11044 |
| Business Practice Address: | 62 Warren Street Atlantis Physical Therapy Group, Inc. Roxbury, MA - 021193248 |
| Business Phone Number: | 6174420111 |
| Business Fax Number: | 6174420110 |
| Mailing Address: | 70 Warren Street, Suite 8 ROXBURY |
| State: | MA |
| Postal Code: | 021193248 |
| Phone Number: | 6174423462 |
| Fax Number: | 6174457874 |
| NPI Enumeration Date: | 07/24/2006 |
| NPI Last Update Date: | 03/29/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 11044 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| 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 |