Individual
KATHLEEN TARASSOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
103 HARRIS RD, PRINCETON JUNCTION, NJ 08550-1305
(609) 126-1222
Mailing address
103 HARRIS RD, PRINCETON JUNCTION, NJ 08550-1305
(609) 216-1222
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00325600
NJ
Other
Enumeration date
03/03/2017
Last updated
03/03/2017
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