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Organization
OT REHABILITATION SERVICES PLLC
Active
Organization
OT REHABILITATION SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA KIMACHENKO (BILLING MANAGER)
(718) 395-3155
Entity
Organization
Contact information
Practice address
2411 E 2ND ST, BROOKLYN, NY 11223-6041
(718) 395-3155
(718) 395-3141
Mailing address
2411 E 2ND ST, BROOKLYN, NY 11223-6041
(718) 395-3155
(718) 395-3141
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
019703
NY
225X00000X
Occupational Therapist
Primary
019788-1
NY
225X00000X
Occupational Therapist
46TR00702800
NJ
Other
Enumeration date
02/02/2016
Last updated
02/02/2017
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