Individual
TARYN NICOLE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
11129 QUEENS BLVD, FOREST HILLS, NY 11375-5553
(718) 215-0075
Mailing address
187 LONGFELLOW DR, MASTIC BEACH, NY 11951-2222
(631) 603-2650
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
009184-1
NY
Other
Enumeration date
01/14/2017
Last updated
01/14/2017
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