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Individual
MR. TOLAN WASHINGTON
Active
Individual
MR. TOLAN WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, CN, FUNCTIONAL M
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
1200458281
NJ
373H00000X
Day Training/Habilitation Specialist
1200458281
NJ
Other
Enumeration date
06/21/2021
Last updated
11/04/2021
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