Individual
MISS OLGA KHAZANOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2554 HARWAY AVE FL 2, BROOKLYN, NY 11214-6623
(718) 372-4586
Mailing address
2554 HARWAY AVE FL 2, BROOKLYN, NY 11214-6623
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
014497
NY
Other
Enumeration date
03/24/2009
Last updated
03/24/2009
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