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NPI Code Detail

MEDICARE: SHIRIN OUMAROVA OTR/L

MEDICARE: SHIRIN OUMAROVA OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225XH1200XHand Occupational Therapist
2225XM0800XMental Health Occupational Therapist
3225XN1300XNeurorehabilitation Occupational Therapist
4225XP0019XPhysical Rehabilitation Occupational Therapist
5225XP0200XPediatric Occupational Therapist

General Provider Information

NPI Number : 1760057459
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHIRIN OUMAROVA OTR/L
Provider Business Mailing Address
First Line : 8801 23RD AVE FL 1
Second Line :
City : BROOKLYN
State : NY
Zip : 11214-5701
Country : US
Telephone Number : 347-224-5555
Fax Number :
Provider Business Practice Location Address
First Line : 2148 OCEAN AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-1483
Country : US
Telephone Number : 718-375-2505
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2021
Last Update Date : 05/27/2021

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