| NPI | 1609304807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TATYANA KHAZANOVA Ot Therapist 646-820-3398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 015672) |
| Enumeration Date | 2017-06-01 |
| Last Update Date | 2024-10-28 |