Diana Mamonova, OTR/L, MSOT

NPI #1407663594 in Rego Park, New York

Provider Information

NPI Number: 1407663594
Entity Type: Individual
Name: Diana Mamonova, OTR/L, MSOT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR/L, MSOT
Enumeration Date: Dec 12, 2024
Last Updated: Dec 12, 2024

Practice Location

Address: 6360 102ND ST APT B17
City: Rego Park
State: New York
ZIP Code: 11374-2435
Phone: (718) 490-2267

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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