Individual
MRS. DEIRDRE TALLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
29 PINE DR, PARK RIDGE, NJ 07656-1868
(201) 782-9306
Mailing address
29 PINE DR, PARK RIDGE, NJ 07656-1868
(201) 782-9306
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00821000
NJ
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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