Individual
MIKHAIL ABDURAKHMANOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
74 MADISON TER, SPRINGFIELD, NJ 07081-3411
(973) 912-0639
Mailing address
74 MADISON TER, SPRINGFIELD, NJ 07081-3411
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00650600
NJ
Other
Enumeration date
11/27/2017
Last updated
11/27/2017
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