Individual
TABITHA OCHTERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
E-RYT
Contact information
Practice address
623 BROADWAY, MASSAPEQUA, NY 11758-5027
(516) 781-1078
Mailing address
623 BROADWAY, MASSAPEQUA, NY 11758-5027
(516) 781-1078
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
12/31/2019
Last updated
11/27/2023
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