ATARA SMALL

FAR ROCKAWAY, NY
NPI1902442965
Former NameATARA GOODMAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: NY  024187)
Enumeration Date2019-11-25
Last Update Date2019-11-25
Business Address
Mrs. ATARA SMALL OT
2412 OCEANCREST BLVD
FAR ROCKAWAY, NY 11691-1929
Phone number: 347-608-4488
Mailing Address
Mrs. ATARA SMALL OT
2412 OCEANCREST BLVD
FAR ROCKAWAY, NY 11691-1929
Phone number: 347-608-4488