Tara Arlene Davison, OT

NPI #1154412773 in Center Moriches, New York

Provider Information

NPI Number: 1154412773
Entity Type: Individual
Name: Tara Arlene Davison, OT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OT
Enumeration Date: Sep 27, 2006
Last Updated: Jul 5, 2013

Practice Location

Address: 12 RED BRIDGE RD
City: Center Moriches
State: New York
ZIP Code: 11934-3609
Phone: (631) 714-5699

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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