Individual
MS. TARA O'ROURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
94 ATLANTIC AVE, LYNBROOK, NY 11563-3412
(516) 596-9100
Mailing address
1488 DEER PARK AVE # 270, NORTH BABYLON, NY 11703-1208
(631) 835-8826
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
016052
NY
Other
Enumeration date
03/03/2021
Last updated
03/03/2021
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