Provider Demographics
NPI:1740891266
Name:KOVTHERAPRO INC
Entity type:Organization
Organization Name:KOVTHERAPRO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESEDENT
Authorized Official - Prefix:
Authorized Official - First Name:IGOR
Authorized Official - Middle Name:
Authorized Official - Last Name:KOVAL
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:917-656-6757
Mailing Address - Street 1:2167 63RD ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11204-3059
Mailing Address - Country:US
Mailing Address - Phone:917-656-6757
Mailing Address - Fax:732-365-6104
Practice Address - Street 1:2167 63RD ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11204-3059
Practice Address - Country:US
Practice Address - Phone:917-656-6757
Practice Address - Fax:732-365-6104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-10
Last Update Date:2020-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty