Individual
DEVORA SHIMONOV TAKHALOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
222 OCEAN PKWY, BROOKLYN, NY 11218-3206
(347) 666-9564
Mailing address
5023 14TH AVE APT F6, BROOKLYN, NY 11219-3652
(347) 666-9564
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
028763
NY
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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