Doctor Name: | MR. SANFORD ALAN OLEVITCH |
NPI Number: | 1285961144 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 6731 |
Business Practice Address: | 4080 W Broadway Ave Robbinsdale, MN - 554225604 |
Business Phone Number: | 7633988888 |
Business Fax Number: | 7633980670 |
Mailing Address: | 8206 W 35th St, ST LOUIS PARK |
State: | MN |
Postal Code: | 554263815 |
Phone Number: | 6127271167 |
Fax Number: | 6127673525 |
NPI Enumeration Date: | 11/12/2009 |
NPI Last Update Date: | 11/12/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 6731 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
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 |