| NPI | 1891481115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALENTINA RUVINOVA Managing Member 718-690-0770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 225100000X Physical Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2023-04-11 |
| Last Update Date | 2023-04-11 |