Occupational Therapy Nest Pllc

NPI #1144993338 in Rego Park, New York

Provider Information

NPI Number: 1144993338
Entity Type: Organization
Organization Name: Occupational Therapy Nest Pllc
Primary Specialty: Occupational Therapist
Enumeration Date: Jul 26, 2021
Last Updated: Jul 26, 2021

Practice Location

Address: 9508 QUEENS BLVD STE 1E
City: Rego Park
State: New York
ZIP Code: 11374-1151
Phone: (718) 275-2669

Authorized Official

Name: MIKHAIL ILYASOV, OTR/L
Title: DIRECTOR
Phone: (718) 612-5634

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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