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Individual
IRINA MATATOVA
Active
Individual
IRINA MATATOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
019742-1
NY
Other
Enumeration date
06/22/2015
Last updated
06/22/2015
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