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1578212296
TARA WALSH
MELVILLE, NY
NPI
1578212296
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Former Name
TARA DERUDDER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
Enumeration Date
2022-03-21
Last Update Date
2022-03-21
Business Address
TARA WALSH OTR/L
560 BROADHOLLOW RD STE 304
MELVILLE, NY 11747-3702
Phone number: 516-222-2010
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Mailing Address
TARA WALSH OTR/L
119 OLDFIELD AVE
AMITYVILLE, NY 11701-3126
Phone number: 631-365-4358
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