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1114462512
YELENA TAKHALOVA
REGO PARK, NY
NPI
1114462512
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NY 021156)
Enumeration Date
2016-12-21
Last Update Date
2017-11-15
Business Address
YELENA TAKHALOVA otr/l
9949 66TH RD APT 2B
REGO PARK, NY 11374-4431
Phone number: 347-656-2721
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Mailing Address
YELENA TAKHALOVA otr/l
9949 66TH RD APT 2B
REGO PARK, NY 11374-4431
Phone number:
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