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Organization
THERAPRIME MOBILITY OT PC
Active
Organization
THERAPRIME MOBILITY OT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEONID YAGUDAYEV OT (PRESIDENT)
(718) 449-1005
Entity
Organization
Contact information
Practice address
2390 MCDONALD AVE, BROOKLYN, NY 11223-4740
(718) 449-1005
(718) 449-1131
Mailing address
2390 MCDONALD AVE, BROOKLYN, NY 11223-4740
(718) 449-1005
(718) 449-1131
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
NY
Other
Enumeration date
09/03/2010
Last updated
09/03/2010
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