Individual
YELENA KUZNETSOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN BSN
Contact information
Practice address
83 BUSTLETON PIKE UNIT C, FEASTERVILLE TREVOSE, PA 19053-6465
(215) 710-0515
(215) 710-0258
Mailing address
83 BUSTLETON PIKE UNIT C, FEASTERVILLE TREVOSE, PA 19053-6465
(215) 710-0515
(215) 710-0258
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
06/23/2020
Last updated
06/23/2020
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