Individual
TARA WOHLTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
250 BLOOMFIELD AVE, BLOOMFIELD, NJ 07003-5689
(973) 743-0792
(973) 743-1882
Mailing address
68 MIRAGE BLVD, BARNEGAT, NJ 08005-5513
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00351600
NJ
Other
Enumeration date
11/16/2009
Last updated
05/27/2014
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