Individual
MARINA IBRAGIMOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.A
Contact information
Practice address
7507 179TH ST, FRESH MEADOWS, NY 11366-1629
(718) 683-2414
Mailing address
7507 179TH ST, FRESH MEADOWS, NY 11366-1629
(718) 683-2414
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
10/05/2011
Last updated
10/05/2011
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