Individual
TAMAR MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
80 HILLSIDE BLVD, LAKEWOOD, NJ 08701-3798
(347) 572-4477
Mailing address
80 HILLSIDE BLVD, LAKEWOOD, NJ 08701-3798
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR01218200
NJ
Other
Enumeration date
01/03/2025
Last updated
01/03/2025
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