Davison, Tara Arlene
Davison, Tara Arlene is an sole proprietor health care provider with primary practice located at 12 Red Bridge Rd , Center Moriches NY 11934-3609. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Davison, Tara Arlene can be contacted via phone (631) 714-5699.Contact Information
Primary practice address
12 Red Bridge Rd
Center Moriches NY 11934-3609
Phone: (631) 714-5699
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 13799 | New York |
Profile Details
| NPI number | 1154412773 |
|---|---|
| LBN Legal business name | Davison, Tara Arlene |
| Credentials | Occupational Therapist (OT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 27th, 2006 |
| Last updated | Jul 5th, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154412773 | NPPES |
| New York | Other | 013799 | LICENSE |
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