Organization
HANDS ON OT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL PENHASOV (OWNER)
(718) 759-8392
Entity
Organization
Contact information
Practice address
1620 STILLWELL AVE, BROOKLYN, NY 11223-1028
(718) 759-8392
Mailing address
3003 AVENUE X APT 5F, BROOKLYN, NY 11235-1246
(718) 759-8392
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
08/06/2018
Last updated
08/06/2018
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