Individual
MS. TARRAH MARIE CORNELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
26 MAIN ST, EDISON, NJ 08837-3418
(609) 521-4746
Mailing address
2544 POWELL AVE, PENNSAUKEN, NJ 08110-1119
(931) 802-1773
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
4045
TN
225X00000X
Occupational Therapist
Primary
TR00556100
NJ
Other
Enumeration date
06/11/2009
Last updated
06/12/2023
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