Doctor Name: | ELEONORA S KISHELOVA |
NPI Number: | 1225264971 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, DPT |
License Number: | 5501014394 |
Business Practice Address: | 1171 E Putnam Ave Building 2, Second Floor Riverside, CT - 068781426 |
Business Phone Number: | 2036371700 |
Business Fax Number: | 2036375447 |
Mailing Address: | 1171 E Putnam Ave, Building 2, Second Floor RIVERSIDE |
State: | CT |
Postal Code: | 068781426 |
Phone Number: | 2036371700 |
Fax Number: | 2036375447 |
NPI Enumeration Date: | 06/09/2009 |
NPI Last Update Date: | 06/09/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5501014394 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
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 |