Anvik Rehab Center, Onc.

NPI #1548414170 in Plano, Texas

Provider Information

NPI Number: 1548414170
Entity Type: Organization
Organization Name: Anvik Rehab Center, Onc.
Primary Specialty: Chiropractor
Enumeration Date: Nov 10, 2008
Last Updated: Apr 30, 2009

Practice Location

Address: 4152 W SPRING CREEK PKWY STE 116
City: Plano
State: Texas
ZIP Code: 75024-5315
Phone: (972) 612-5363

Authorized Official

Name: ANATOLY V KOLMAKOV, LMT
Title: OWNER
Phone: (972) 612-5363

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X
Physical Therapist - Orthopedic — Orthopedic	2251X0800X
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Massage Therapist	225700000X
Rehabilitation Counselor	225C00000X
Occupational Therapist - Physical Rehabilitation — Physical Rehabilitation	225XP0019X
Kinesiotherapist	226300000X
Rehabilitation Hospital	283X00000X
Chiropractor	111N00000X	Primary

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