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Individual

NICOLE EILEEN TABABA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTD, OTR/L

Contact information

Practice address
415 SOUTHERN BLVD, CHATHAM, NJ 07928-1488
(973) 822-1500
Mailing address
1025 HARDING AVE, UNION, NJ 07083-6116

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
04/15/2024
Last updated
04/15/2024
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