Individual
IGOR YATSKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11044
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0703061
—
MA
01
—
AA33405
HARVARD
MA
01
—
Y67378
BCBS
MA
Enumeration date
07/24/2006
Last updated
01/26/2022
Update your record
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