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Individual

NATALIA CHERNYSHOVA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSOTR/L

Contact information

Practice address
301 BYBERRY RD, B15, PHILADELPHIA, PA 19116-1947
(267) 262-2279
Mailing address
301 BYBERRY RD, B15, PHILADELPHIA, PA 19116-1947
(267) 262-2279

Taxonomy

Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary

Other

Enumeration date
04/09/2012
Last updated
04/09/2012
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