Tatyana Prusakova

NPI #1548625601 in Holbrook, New York

Provider Information

NPI Number
1548625601
Entity Type
Individual
Name
Tatyana Prusakova
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapist
Enumeration Date
Dec 16, 2015
Last Updated
Dec 16, 2015

Practice Location

Address
20 PEACHTREE CT
Address 2
SUITE 105
ZIP Code
11741-4616
Phone
(631) 467-3700

Specialties & Taxonomy Codes

Specialty
Occupational Therapist

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