Individual
MS. TATIANA KITAYCHIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
39 SHIRA LN, MANALAPAN, NJ 07726-8802
(732) 252-9335
Mailing address
39 SHIRA LN, MANALAPAN, NJ 07726-8802
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
014207
NY
Other
Enumeration date
06/07/2007
Last updated
09/16/2009
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