Individual
OLGA YUSHUVAYEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
9810 64TH AVE APT 7C, REGO PARK, NY 11374-2503
(646) 388-4681
Mailing address
9810 64TH AVE APT 7C, REGO PARK, NY 11374-2503
(646) 388-4681
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
026027
NY
Other
Enumeration date
10/27/2021
Last updated
10/27/2021
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