Provider Demographics
NPI:1417715665
Name:OT MOVES PC
Entity Type:Organization
Organization Name:OT MOVES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:GADAYEVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-687-0009
Mailing Address - Street 1:9622 QUEENS BLVD
Mailing Address - Street 2:
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-1154
Mailing Address - Country:US
Mailing Address - Phone:347-687-0009
Mailing Address - Fax:
Practice Address - Street 1:9622 QUEENS BLVD
Practice Address - Street 2:
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-1154
Practice Address - Country:US
Practice Address - Phone:347-687-0009
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-12
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty