Individual
MAZAL KATANOV-NEKTALOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
65-09 99TH ST, APT.1T, REGO PARK QUEENS,NY, NY 11374
(164) 577-8008
Mailing address
6509 99TH ST, REGO PARK, NY 11374-3570
(646) 577-8008
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
021792
NY
Other
Enumeration date
11/02/2017
Last updated
03/17/2018
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