Kristina Boutchatski, OTR/L
Rehabilitation Hospital in Brooklin, NY. Individual provider (NPI-1).
NPI number1730389727
StatusActive
Last updated in NPPESOct 27, 2007
Details
- NPI
- 1730389727
- Entity type
- Individual (NPI-1)
- Name
- Ms. Kristina Boutchatski
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 19, 2007
- Last updated
- Oct 27, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 283X00000X | Rehabilitation Hospital | 014370 | NY | Yes |
| 273Y00000X | Rehabilitation Unit | – | – |
Practice location
264 72nd St1a
Brooklin, NY 11209
Phone 646-209-7043
Mailing address
264 72nd St Apt 1aBrooklyn, NY 11209-2151
Phone 646-209-7043
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