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1013797968
TARA MERCEDES MCCORMACK
STATEN ISLAND, NY
NPI
1013797968
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
Enumeration Date
2023-09-28
Last Update Date
2023-09-28
Business Address
Ms. TARA MERCEDES MCCORMACK OTR
269 KELL AVE
STATEN ISLAND, NY 10314-4113
Phone number: 718-494-2526
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Mailing Address
Ms. TARA MERCEDES MCCORMACK OTR
269 KELL AVE
STATEN ISLAND, NY 10314-4113
Phone number: 718-494-2526
Copy
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