Organization
FIT LIFE OCCUPATIONAL THERAPY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INGA BALANOVSKY OT (OWNER)
(718) 414-5838
Entity
Organization
Contact information
Practice address
2928 W 5TH ST, APT 21M, BROOKLYN, NY 11224-3902
(718) 414-5838
Mailing address
2928 W 5TH ST, APT 21M, BROOKLYN, NY 11224-3902
(718) 414-5838
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
016734
NY
Other
Enumeration date
08/19/2014
Last updated
05/17/2016
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