Individual
TAWANA MELISSA FISCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, ATP
Contact information
Practice address
81 HILLSIDE AVENUE, WOODBRIDGE, NJ 07095-3611
(732) 423-4339
Mailing address
81 HILLSIDE AVENUE, WOODBRIDGE, NJ 07095-3611
(732) 423-4339
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
012874
NY
225X00000X
Occupational Therapist
46TR00436100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012874
NEW YORK STATE EDUCATION DEPARTMENT OCCUPATIONAL THERAPY LICENSE
NY
01
—
46TR00436100
NEW JERSEY OFFICE OF ATTORNEY GENERAL DIVISION OF CONSUMER AFFAIRS OT ADV COUNCI
NJ
Enumeration date
12/05/2008
Last updated
12/05/2008
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