Individual
ELIZAVETA KHOLOLEYENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
865 AVENUE Z APT 3A, BROOKLYN, NY 11235-5173
(347) 602-3714
Mailing address
865 AVENUE Z APT 3A, BROOKLYN, NY 11235-5173
(347) 602-3714
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
024772
NY
Other
Enumeration date
07/08/2020
Last updated
07/08/2020
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