Individual
DANIELA ILYAYEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6611 99TH ST APT 4A, REGO PARK, NY 11374-4388
(347) 684-3217
Mailing address
6611 99TH ST APT 4A, REGO PARK, NY 11374-4388
(347) 684-3217
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
024633
NY
Other
Enumeration date
05/03/2020
Last updated
05/03/2020
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