Individual
INNA VINOKUROV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2615 AVENUE O APT 3J, BROOKLYN, NY 11210-5221
(646) 734-2869
Mailing address
2615 AVENUE O APT 3J, BROOKLYN, NY 11210-5221
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
015839
NY
225XP0200X
Pediatric Occupational Therapist
015839
NY
Other
Enumeration date
11/03/2009
Last updated
11/03/2009
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