Individual
MR. SANFORD ALAN OLEVITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4080 W BROADWAY AVE, ROBBINSDALE, MN 55422-5604
(763) 398-8888
(763) 398-0670
Mailing address
8206 W 35TH ST, ST LOUIS PARK, MN 55426-3815
(612) 727-1167
(612) 767-3525
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6731
MN
Other
Enumeration date
11/12/2009
Last updated
11/12/2009
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