Individual
SUSANA RUBINOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
6259 108TH ST APT 5F, FOREST HILLS, NY 11375-1314
(917) 557-9903
Mailing address
6259 108TH ST APT 5F, FOREST HILLS, NY 11375-1314
(917) 557-9903
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
352474
NY
Other
Enumeration date
01/16/2017
Last updated
01/16/2017
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