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Tyra Banks, MS, OTR/L
NPI 1770738841 · on the registry since 2008 · sole proprietor
Practice
- Address
- 3512 Milburn Ave
Baldwin, NY 11510 - Phone
- (516) 860-9677
- Organisation at this address
- Cornerstone Kids Ot Pc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Contractor
171W00000X
- Also registered as
- Contractor
- Licence states on file
- NJ, NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-07-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York