Izabella Shimanova, OTR/L
Occupational Therapist in Bronx, NY. Individual provider (NPI-1).
NPI number1801554142
StatusActive
Last updated in NPPESDec 3, 2021
Details
- NPI
- 1801554142
- Entity type
- Individual (NPI-1)
- Name
- Ms. Izabella Shimanova
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 3, 2021
- Certification date
- Dec 3, 2021
- Last updated
- Dec 3, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 026317 | NY | Yes |
Practice location
1800 Waring AveBronx, NY 10469-6331
Phone 718-379-4400
Mailing address
1800 Waring AveBronx, NY 10469-6331
Phone 718-379-4400
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