Individual
DANIEL MIKHELASHVILI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTD
Contact information
Practice address
17016 73RD AVE, FLUSHING, NY 11366-1320
(718) 755-3218
Mailing address
7525 153RD ST APT 609, FLUSHING, NY 11367-3095
(508) 982-4422
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
029815
NY
Other
Enumeration date
02/14/2025
Last updated
08/01/2025
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