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Organization
MOTION REHABILITATION OT PC
Active
Organization
MOTION REHABILITATION OT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NELLI BARDANOVA OT (PRESIDENT)
(917) 584-0890
Entity
Organization
Contact information
Practice address
2848 W 15TH ST, BROOKLYN, NY 11224-2860
(929) 441-3356
Mailing address
265 LINCOLN AVE APT 2, STATEN ISLAND, NY 10306-3358
(929) 441-3356
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018931
LICENSE
NY
Enumeration date
07/20/2022
Last updated
07/20/2022
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