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Organization

OCCUPATIONAL THERAPY NEST PLLC

Active
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Organization

OCCUPATIONAL THERAPY NEST PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MIKHAIL ILYASOV OTR/L (DIRECTOR)
(718) 612-5634
Entity
Organization

Contact information

Practice address
9508 QUEENS BLVD STE 1E, REGO PARK, NY 11374-1151
(718) 275-2669
Mailing address
14765 HOOVER AVE, JAMAICA, NY 11435-2139
(718) 612-5634
(718) 275-2686

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—

Other

Enumeration date
07/26/2021
Last updated
07/26/2021
About Stedi
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