Doctor Name: | DR. ELVIRA KARAKOZOVA |
NPI Number: | 1205245362 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | PT 29093 |
Business Practice Address: | 556 Cambridge St Ste 101 Allston, MA - 021342496 |
Business Phone Number: | 8574453773 |
Business Fax Number: | 6179165733 |
Mailing Address: | 556 Cambridge St Ste 101, ALLSTON |
State: | MA |
Postal Code: | 021342496 |
Phone Number: | 8574453773 |
Fax Number: | 6179165733 |
NPI Enumeration Date: | 08/03/2014 |
NPI Last Update Date: | 08/03/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | PT 29093 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |