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1801530415
TARA MARIE DEROSA
BRONX, NY
NPI
1801530415
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NY 026698)
Enumeration Date
2022-04-21
Last Update Date
2022-04-21
Business Address
TARA MARIE DEROSA
1250 WATERS PL
BRONX, NY 10461-2720
Phone number: 718-409-9444
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Mailing Address
TARA MARIE DEROSA
2712 RAY PL
NORTH BELLMORE, NY 11710-2035
Phone number: 516-361-8963
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