Individual
MRS. TARA LYNN DOEBELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
292 GREENWICH ST, NEW YORK, NY 10007-1048
(212) 233-6034
Mailing address
525 E 14TH ST, APT. 7E, NEW YORK, NY 10009-3002
(212) 673-6830
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
7130556
NY
Other
Enumeration date
03/15/2012
Last updated
03/15/2012
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