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Individual

MS. KRISTINA BOUTCHATSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
264 72ND ST, 1A, BROOKLIN, NY 11209
(646) 209-7043
Mailing address
264 72ND ST APT 1A, BROOKLYN, NY 11209-2151
(646) 209-7043

Taxonomy

Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
283X00000X
Rehabilitation Hospital
Primary
014370
NY

Other

Enumeration date
07/19/2007
Last updated
10/27/2007
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