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Mr. Kevin Yudianto, CTRS
Recreation Therapist in Jamaica, New York
NPI 1720790793

Kevin Yudianto is a Recreation Therapist based in Jamaica, NY. Kevin Yudianto practices in Jamaica, NY and has the professional credentials of CTRS. The NPI Number for Kevin Yudianto is 1720790793 and holds a License No. (New York).

The current practice location address for Kevin Yudianto is 17900 Linden Blvd Rm 219A, Jamaica, NY and can be reached out via phone at 718-526-1000.

Location: 17900 Linden Blvd Rm 219A, Jamaica, NY, 11425-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720790793
Provider Name
Kevin Yudianto
Credential
CTRS
Provider Entity Type
Individual
Gender
Male
Address
17900 Linden Blvd Rm 219A, Jamaica, NY, 11425-0001
Phone Number
718-526-1000
Fax Number
Provider Enumeration Date
12/21/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
17900 Linden Blvd Rm 219A
City
Jamaica
State
New York
Zip
11425-0001
Phone Number
718-526-1000
Fax Number
person
Provider Business Mailing Address Details
Address
17900 Linden Blvd Rm 219A
City
Jamaica
State
New York
Zip
11425-0001
Phone Number
718-526-1000
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Recreation Therapist
Speciality
-
Taxonomy
225800000X
License No.
()
Definition
A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.
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