Individual
MS. TARA L DELCOLLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, OTR/L
Contact information
Practice address
240 MEETING HOUSE LN, SOUTHAMPTON, NY 11968-5009
(631) 726-8523
Mailing address
24 BABYLON RD, MASTIC BEACH, NY 11951-6604
(631) 772-4374
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
018562-1
NY
Other
Enumeration date
02/08/2014
Last updated
02/08/2014
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