Individual
TANNA JACQUELINE AVELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14 BERGEN AVE, NORTH ARLINGTON, NJ 07031-5207
(201) 702-3558
Mailing address
14 BERGEN AVE, NORTH ARLINGTON, NJ 07031-5207
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TRA09200000
NJ
Other
Enumeration date
04/29/2026
Last updated
04/29/2026
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