Most Relevant Information
Provider Data
| NPI Number: | 1003177148 |
| Provider Name: | NADEJDA MANOLOV |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | 008081 |
Most Important Dates
| Enumeration Date: | 06/05/2012 |
| Last Updated: | 06/05/2012 |
Provider Practice Location
1555 ROCKAWAY PKWY
BROOKLYN
NY
112364001
Practice Location Phone/Fax
| Phone: | 7189276300 |
| Fax: |
Provider Mailing Location
685 RIVER AVE
LAKEWOOD
NJ
087015288
Provider Mailing Phone/Fax
| Phone: | 7329873885 |
| Fax: |