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Individual
TARA ARLENE DAVISON
Active
Individual
TARA ARLENE DAVISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13799
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013799
LICENSE
NY
Enumeration date
09/27/2006
Last updated
07/05/2013
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