| NPI | 1629940994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DMITRY SHEVCHENKO Owner 718-223-4299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2025-09-18 |
| Last Update Date | 2025-09-18 |