| NPI | 1245754225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DMITRY SHEVCHENKO Organizer 718-395-7445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2022-07-21 |