TARA F ALFRED

DIX HILLS, NY
NPI1043589047
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: NY  006895-1)
Enumeration Date2011-12-20
Last Update Date2011-12-20
Business Address
-- TARA F ALFRED COTA
762 DEER PARK RD
DIX HILLS, NY 11746-6221
Phone number: 631-667-3389
Mailing Address
-- TARA F ALFRED COTA
22 KESWICK LN
PLAINVIEW, NY 11803-6119
Phone number: 516-938-9219