MEDICARE: MS. JANICE E OLSHEVER BS, RPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	005888-1	NY

General Provider Information

NPI Number	:	1528212685
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JANICE E OLSHEVER BS, RPT

Provider Business Mailing Address
First Line	:	32 W 18TH ST
Second Line	:	APT 3A
City	:	NEW YORK
State	:	NY
Zip	:	10011-4612
Country	:	US
Telephone Number	:	516-987-0712
Fax Number	:	212-741-3549

Provider Business Practice Location Address
First Line	:	32 W 18TH ST
Second Line	:	APT 3A
City	:	NEW YORK
State	:	NY
Zip	:	10011-4612
Country	:	US
Telephone Number	:	516-987-0712
Fax Number	:	212-741-3549

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/15/2008
Last Update Date	:	10/20/2011

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