PROVIDER REHAB, OT. P.C.

STATEN ISLAND, NY
NPI1205294691
Entity TypeOrganization
Authorized ContactDMITRY SHEVCHENKO
President
347-766-9077
Organization Subpart ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: NY  63018851)
Enumeration Date2016-02-01
Last Update Date2020-03-05
Business Address
PROVIDER REHAB, OT. P.C.
288 SAND LN STE 1
STATEN ISLAND, NY 10305-4512
Phone number: 347-766-9077
Mailing Address
PROVIDER REHAB, OT. P.C.
3030 EMMONS AVE APT 5T
BROOKLYN, NY 11235-2228
Phone number: 347-766-9077