Provider Demographics
NPI:1528212685
Name:OLSHEVER, JANICE E (BS, RPT)
Entity Type:Individual
Prefix:MS
First Name:JANICE
Middle Name:E
Last Name:OLSHEVER
Suffix:
Gender:F
Credentials:BS, RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 W 18TH ST
Mailing Address - Street 2:APT 3A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-4612
Mailing Address - Country:US
Mailing Address - Phone:516-987-0712
Mailing Address - Fax:212-741-3549
Practice Address - Street 1:32 W 18TH ST
Practice Address - Street 2:APT 3A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-4612
Practice Address - Country:US
Practice Address - Phone:516-987-0712
Practice Address - Fax:212-741-3549
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-15
Last Update Date:2011-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005888-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist