| NPI | 1881124204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YEVGENIY SMIRNOV President 347-267-2861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: 020379) |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2022-07-21 |