Provider Demographics
NPI:1073136297
Name:BESLYK, OLESYA
Entity Type:Individual
Prefix:
First Name:OLESYA
Middle Name:
Last Name:BESLYK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7405 GREENBACK LN # 216
Mailing Address - Street 2:
Mailing Address - City:CITRUS HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:95610-5653
Mailing Address - Country:US
Mailing Address - Phone:916-903-4117
Mailing Address - Fax:
Practice Address - Street 1:5010 SUNSHINE LN
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95841-2627
Practice Address - Country:US
Practice Address - Phone:916-903-4117
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-21
Last Update Date:2020-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251H1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistHandGroup - Multi-Specialty