Impact Ot PC

NPI #1942881495 in Rego Park, New York

Provider Information

NPI Number: 1942881495
Entity Type: Organization
Organization Name: Impact Ot PC
Primary Specialty: Occupational Therapist
Enumeration Date: Apr 16, 2021
Last Updated: Apr 16, 2021

Practice Location

Address: 6411 99TH ST APT 209
City: Rego Park
State: New York
ZIP Code: 11374-2676
Phone: (347) 351-7781

Authorized Official

Name: ESTHER CHAIMOV, OTR/L
Title: PRESIDENT
Phone: (347) 351-7781

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X
Clinic/Center - Health Service — Health Service	261QH0100X
Clinic/Center - Physical Therapy — Physical Therapy	261QP2000X
Occupational Therapist	225X00000X	Primary

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