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Organization
TERRA CARE OT, PC
Active
Organization
TERRA CARE OT, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TATIANA KITAYCHIK OTR/L (PRESIDENT)
(732) 252-9335
Entity
Organization
Contact information
Practice address
1659 78TH ST, SUITE 2E, BROOKLYN, NY 11214-1011
(718) 234-1212
(718) 234-1164
Mailing address
39 SHIRA LN, MANALAPAN, NJ 07726-8802
(732) 252-9335
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
014207
NY
Other
Enumeration date
09/22/2009
Last updated
09/22/2009
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