Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 40QA00680300 | NJ |
N | 2251C2600X | Cardiopulmonary | 40QA00680300 | NJ |
N | 2251E1300X | Electrophysiology, Clinical | 40QA00680300 | NJ |
N | 2251G0304X | Physical Therapist - Geriatrics | 40QA00680300 | NJ |
N | 2251H1200X | Hand | 40QA00680300 | NJ |
N | 2251N0400X | Physical Therapist - Neurology | 40QA00680300 | NJ |
N | 2251X0800X | Physical Therapist - Orthopedic | 40QA00680300 | NJ |
NPI | 1265473615 |
---|---|
Provider Name | Mrs. Lyudmila Svetnikova |
First Address | Livingston, NJ 07039-2757 |
Second Address | Livingston, NJ 07039-2757 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2006 |
Last Update Date | 08/07/2007 |