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1023528908
VIKTORIYA MANTULINA
FAR ROCKAWAY, NY
NPI
1023528908
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NY 020445)
Enumeration Date
2017-10-05
Last Update Date
2017-10-05
Business Address
Ms. VIKTORIYA MANTULINA OTR/L
2028 SEAGIRT BLVD STE 100
FAR ROCKAWAY, NY 11691-5915
Phone number: 347-421-6765
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Mailing Address
Ms. VIKTORIYA MANTULINA OTR/L
2422 E 11TH ST
BROOKLYN, NY 11235-5018
Phone number:
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