Individual
TARA K STONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
130 WILSON ST, NEWARK, NY 14513-1945
(315) 331-8483
Mailing address
130 WILSON ST, NEWARK, NY 14513-1945
(315) 331-8483
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
003530-1
NY
Other
Enumeration date
08/07/2008
Last updated
08/07/2008
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