Organization
PIVOTAL MOTION OCCUPATIONAL THERAPY, PLLC
Active
Parent organization
PIVOTAL MOTION OCCUPATIONAL THERAPY, PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PIVOTAL MOTION OCCUPATIONAL THERAPY, PLLC
Authorized official
MRS. MARIANNA ILYASOVA OTRL (OCCUPATIONAL THERAPIST)
(347) 265-3064
Entity
Organization
Contact information
Practice address
13526 78TH AVE APT F, FLUSHING, NY 11367-3276
(347) 265-3064
Mailing address
13526 78TH AVE APT F, FLUSHING, NY 11367-3276
(347) 265-3064
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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