Individual provider · Type 1 NPI

Tatyana Prusakova

Occupational Therapist · Holbrook, NY

NPI number 1548625601 Active

Practice location

20 Peachtree Ct, Suite 105
Holbrook, NY 11741-4616

Call (631) 467-3700 Map

Fax (631) 467-0928

Mailing address

830 James St
Syracuse, NY 13203-2541

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X013901 (NY)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1548625601

Tatyana Prusakova's National Provider Identifier is 1548625601, issued on Dec 16, 2015. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Holbrook, NY. The record was last updated on Dec 16, 2015.