Individual
UMER TAHIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
221 COUNTY RD, CRESSKILL, NJ 07626-1605
(201) 567-9310
Mailing address
221 COUNTY RD, CRESSKILL, NJ 07626-1605
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09104200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W214312862
AETNA
—
Enumeration date
09/11/2018
Last updated
09/11/2018
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