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Organization
TAKHALOVA OCCUPATIONAL THERAPY PLLC
Active
Organization
TAKHALOVA OCCUPATIONAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INESSA SABLE (BILLING ADMINISTRATOR)
(718) 333-1394
Entity
Organization
Contact information
Practice address
143 E MAIN ST FL 1, BABYLON, NY 11702-3524
(631) 661-3292
(212) 208-2499
Mailing address
9949 66TH RD APT 2B, REGO PARK, NY 11374-4431
(631) 661-3292
(212) 208-2499
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
05/15/2018
Last updated
05/15/2018
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