Individual
MRS. ATARA SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2412 OCEANCREST BLVD, FAR ROCKAWAY, NY 11691-1929
(347) 608-4488
Mailing address
2412 OCEANCREST BLVD, FAR ROCKAWAY, NY 11691-1929
(347) 608-4488
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
024187
NY
Other
Enumeration date
11/25/2019
Last updated
11/25/2019
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