Individual
ELEONORA SHOLOMOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
200 WINSTON DR, APT. 718, CLIFFSIDE PARK, NJ 07010-3235
(120) 188-8057
Mailing address
9817 HORACE HARDING EXPY, APT. 4J, CORONA, NY 11368-4248
(718) 271-1259
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
006568
NY
Other
Enumeration date
12/06/2008
Last updated
12/06/2008
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