Individual
KHANNA SADYKOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
11515 101ST AVE, SOUTH RICHMOND HILL, NY 11419-1247
(718) 441-5333
Mailing address
10811 65TH AVE, FOREST HILLS, NY 11375-1419
(917) 293-9954
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
018095-1
NY
Other
Enumeration date
08/13/2013
Last updated
08/13/2013
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