Individual
ANNA A VOLKOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC., PTA
Contact information
Practice address
40 JACKSON ST, NUTLEY, NJ 07110-1221
(347) 506-9061
Mailing address
40 JACKSON ST, NUTLEY, NJ 07110-1221
(347) 506-9061
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
25MZ00164200
NJ
225200000X
Physical Therapy Assistant
40QB00350400
NJ
Other
Enumeration date
03/31/2023
Last updated
03/31/2023
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