Individual
OLIVIA WUEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
535 E 70TH ST, NEW YORK, NY 10021-4823
(646) 618-7777
Mailing address
175 E 62ND ST APT 11D, NEW YORK, NY 10065-7690
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
048320-01
NY
Other
Enumeration date
10/24/2023
Last updated
10/24/2023
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