Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dina Boutehsaz

Individual provider Occupational Therapist · NPI 1265230387

Dina Boutehsaz is an Occupational Therapist in Hollis, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2025
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Practice location Address checks out

18910 Radnor Rd
Hollis, NY 11423-1021
Phone: (347) 268-8639
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 029966 (NY)

Record details

NPI number1265230387
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 5, 2025
Last updated in NPPESMarch 5, 2025
Certification dateMarch 4, 2025
Mailing address12017 84th Ave, Kew Gardens, NY 11415-3104

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