Individual
ILAN GOLIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1130 ALLUMBAUGH ST, BOISE, ID 83704-8700
(208) 854-8517
Mailing address
6805 MAYFIELD RD, APT. 818, MAYFIELD HEIGHTS, OH 44124-2272
(440) 646-1751
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-134
ID
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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