Organization
KI PROOFESSIONAL SERVICES INC
Active
Other names
ki proofessional services inc
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE ITSKOVICH MS, OTR/L (CEO)
(917) 291-5365
Entity
Organization
Contact information
Practice address
2341 ROYCE ST, BROOKLYN, NY 11234-6615
(917) 291-5365
Mailing address
2341 ROYCE ST, BROOKLYN, NY 11234-6615
(917) 291-5365
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
03/16/2021
Last updated
03/19/2021
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