Marina Khaimova

NPI #1932566304 in Rego Park, New York

Provider Information

NPI Number: 1932566304
Entity Type: Individual
Name: Marina Khaimova
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Jan 15, 2016
Last Updated: Jan 15, 2016

Practice Location

Address: 6326B BOURTON ST
Address 2: 1B
City: Rego Park
State: New York
ZIP Code: 11374-2842
Phone: (917) 667-4271

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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