Individual
PROF. SHUSHANA NORMATOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
9821 65TH AVE, #2D, REGO PARK, NY 11374-3453
(347) 601-1976
Mailing address
9821 65TH AVE, #2D, REGO PARK, NY 11374-3453
(347) 601-1976
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
006999-1
NY
Other
Enumeration date
06/20/2009
Last updated
06/20/2009
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