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Organization
IMPACT OT PC
Active
Organization
IMPACT OT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESTHER CHAIMOV OTR/L (PRESIDENT)
(347) 351-7781
Entity
Organization
Contact information
Practice address
6411 99TH ST APT 209, REGO PARK, NY 11374-2676
(347) 351-7781
Mailing address
6411 99TH ST APT 209, REGO PARK, NY 11374-2676
(347) 351-7781
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
261Q00000X
Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
04/16/2021
Last updated
04/16/2021
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