| NPI | 1750843959 |
|---|---|
| Other Name | TAMARA AVEZBAKIYEV |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NY 017290-1) |
| Additional Taxonomies | 225XG0600X Occupational Therapist, Gerontology (Licence: NY 017290-1) |
| 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: NY 017290-1) | |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2019-04-05 |