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Organization
SOBROOK OT, PLLC
Active
Organization
SOBROOK OT, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TATYANA KHAZANOVA OT THERAPIST (OT THERAPIST)
(646) 820-3398
Entity
Organization
Contact information
Practice address
3101 OCEAN PKWY APT 1B, BROOKLYN, NY 11235-8413
(646) 820-3398
(718) 228-7362
Mailing address
2145 E 27TH ST, BROOKLYN, NY 11229-5059
(646) 820-3398
(718) 701-1188
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
015672
NY
Other
Enumeration date
06/01/2017
Last updated
10/28/2024
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