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Organization
RN OCCUPATIONAL THERAPY P.C
Active
Organization
RN OCCUPATIONAL THERAPY P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAVITAL NARKOLAYEV OTR/L (OCCUPATIONAL THERAPIST)
(917) 373-4309
Entity
Organization
Contact information
Practice address
8410 MAIN ST APT 456, JAMAICA, NY 11435-1731
(917) 373-4309
Mailing address
8410 MAIN ST APT 456, JAMAICA, NY 11435-1731
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NULL
Other
Enumeration date
06/25/2024
Last updated
07/25/2024
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