Individual provider · Type 1 NPI

Tatyana Prokhorenko

Rehabilitation Practitioner · Van Nuys, CA

NPI number 1265564207 Active

Practice location

14530 Hamlin St
Van Nuys, CA 91411-1607

Mailing address

17320 Burbank Blvd, #15
Encino, CA 91316-1745

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1265564207

Tatyana Prokhorenko's National Provider Identifier is 1265564207, issued on Mar 12, 2007. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Van Nuys, CA. The record was last updated on Jul 8, 2007.