Doctor Name: | MIKHAIL SLOBODSKOI |
NPI Number: | 1154301398 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHYSICAL THERAPIST |
License Number: | PT016936 |
Business Practice Address: | 2 Park Ln Suite 104 Feasterville, PA - 190536004 |
Business Phone Number: | 2159539944 |
Business Fax Number: | 2159539943 |
Mailing Address: | 2 Park Ln, Suite 104 FEASTERVILLE |
State: | PA |
Postal Code: | 190536004 |
Phone Number: | 2159539944 |
Fax Number: | 2159539943 |
NPI Enumeration Date: | 01/21/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | PT016936 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |