Individual
DAVID MARC TAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
963 SCARSDALE RD, SCARSDALE, NY 10583-4852
(914) 472-0783
Mailing address
3636 33RD ST STE 500, ASTORIA, NY 11106-2329
(212) 529-9780
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
019804-1
NY
Other
Enumeration date
09/16/2016
Last updated
09/16/2016
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