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General NPI Number Information
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NPI Number | 1578073359
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Entity Type | Organization
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Legal Business Name | JUST RIGHT OT PC
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Dates
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Enumeration Date | 10/05/2017
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Last Update Date | 10/05/2017
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Provider Practice Location Address
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Address Line | 2028 SEAGIRT BLVD STE 100
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City | FAR ROCKAWAY
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State | NY
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Zip | 11691-5915
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Country | US
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Telephone | 347-421-6765
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Fax |
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Provider Business Mailing Address
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Address Line | 2422 E 11TH ST
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City | BROOKLYN
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State | NY
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Zip | 11235-5018
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. VIKTORIYA MANTULINA
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Credential | OTR/L
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Telephone | 347-421-6765
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 020445
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License Number State | NY
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