Individual
TARYN BROOKE CUDLITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
105 S MADISON AVE, SPRING VALLEY, NY 10977-5474
(845) 577-6000
Mailing address
34 STRATHMORE DR, NEW CITY, NY 10956-7022
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
024305
NY
Other
Enumeration date
02/05/2020
Last updated
02/05/2020
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