Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Larisa Mullodzhanova, MS, OTR/L

Individual provider Pediatric Occupational Therapist · NPI 1255638169

MS. Larisa Mullodzhanova, MS, OTR/L is a Pediatric Occupational Therapist in Corona, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2011
What do these letters mean?
MS — Master of Science
A graduate science degree.
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

9705 Horace Harding Expy Apt 11B
Corona, NY 11368-4104
Phone: (718) 791-2594
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence 016063 (NY)

Record details

NPI number1255638169
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , OTR/L
Sole proprietorYes
NPI enumeratedFebruary 12, 2011
Last updated in NPPESFebruary 12, 2011

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