Individual
TARAH MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
17 N PLANK RD STE 10, NEWBURGH, NY 12550-2111
(845) 800-9350
Mailing address
2427 BRUYNSWICK RD, WALLKILL, NY 12589-3206
(845) 341-8114
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
009076-01
NY
Other
Enumeration date
05/12/2021
Last updated
05/12/2021
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