Davison, Tara Arlene

Davison, Tara Arlene is an sole proprietor health care provider with primary practice located at 12 Red Bridge Rd , Center Moriches NY 11934-3609. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Davison, Tara Arlene can be contacted via phone (631) 714-5699.

Contact Information

Primary practice address
12 Red Bridge Rd Center Moriches NY 11934-3609
Phone: (631) 714-5699
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 13799 New York

Profile Details

NPI number 1154412773
LBN Legal business name Davison, Tara Arlene
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 27th, 2006
Last updated Jul 5th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154412773 NPPES
New York Other 013799 LICENSE

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