MR. Justin Tate, MS, OTR/L

NPI #1649429523 in Nesconset, New York

Provider Information

NPI Number: 1649429523
Entity Type: Individual
Name: MR. Justin Tate, MS, OTR/L
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: MS, OTR/L
Enumeration Date: Sep 16, 2008
Last Updated: Sep 16, 2008

Practice Location

Address: 14 SUBURBAN LANE
City: Nesconset
State: New York
ZIP Code: 11767
Phone: (516) 314-6599

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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