Individual
REGINA KHAIMOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110-59 63 AVENUE, FOREST HILLS, NY 11375-1716
(917) 561-2555
Mailing address
11059 63RD AVE, FOREST HILLS, NY 11375-1405
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
09/17/2008
Last updated
10/02/2014
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