Provider Demographics
NPI:1942455415
Name:STRAZHNIKOVA, NONNA Y (OTR)
Entity Type:Individual
Prefix:
First Name:NONNA
Middle Name:Y
Last Name:STRAZHNIKOVA
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 WINSTON DR
Mailing Address - Street 2:APT 718
Mailing Address - City:CLIFFSIDE PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07010-3235
Mailing Address - Country:US
Mailing Address - Phone:201-888-0573
Mailing Address - Fax:718-233-9688
Practice Address - Street 1:200 WINSTON DR
Practice Address - Street 2:APT 718
Practice Address - City:CLIFFSIDE PARK
Practice Address - State:NJ
Practice Address - Zip Code:07010-3235
Practice Address - Country:US
Practice Address - Phone:201-888-0573
Practice Address - Fax:718-233-9688
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-25
Last Update Date:2008-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009859-1225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics