Individual
LARISA MOSHEEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2489 E 3RD ST, BROOKLYN, NY 11223-6002
(347) 935-6778
Mailing address
2489 E 3RD ST, BROOKLYN, NY 11223-6002
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008810
NY
Other
Enumeration date
12/23/2015
Last updated
12/23/2015
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