Individual
MS. TAMARA BOGDANOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR-L
Contact information
Practice address
18 FAIRFIELD AVE, WEST CALDWELL, NJ 07006-7602
(862) 215-3472
Mailing address
18 FAIRFIELD AVE, WEST CALDWELL, NJ 07006-7602
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00522000
NJ
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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