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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

VSEVOLOD ELKANOVICH, PT

Active Sole Proprietor

VSEVOLOD ELKANOVICH, PT is a Physical Therapy Assistant healthcare provider located in LINCROFT, New Jersey. NPI 1801895446 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · LINCROFT, NJ

Registration Details

NPI Number
1801895446
Provider Type
Individual
Gender
Male
NPI Issued
Jul 15, 2005 (21.047706602871 yrs)
Last Updated
Nov 1, 2019
License
40QA01095600 (NJ)
Sole Proprietor
Yes

Practice Information

Address
765 NEWMAN SPRINGS RD
LINCROFT, NJ, 077381543
Browse NJ providers · Browse ZIP 07738
Phone
7323704855
Fax
7323444484
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in LINCROFT, NJ

Name Credential NPI
MR. DAVID BERTONE PT 1619056686
STEVEN JOHN RYAN PT 1952470890
MR. STEPHEN JOSEPH PITTARELLI PT 1144434754
LYNN MARIE FICALORA 1033445937
DR. GIANNA CAROLE PIANOFORTE PT, DPT 1316614803
ALEXANDRA RAGUSEO DPT, PT 1770360083
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.