Individual
TIFFANY M BARAHONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
155 175 WEST HUDSON AVE, ENGLEWOOD, NJ 07631
(973) 294-1745
Mailing address
12 ESSEX ST, BELLEVILLE, NJ 07109-2604
(973) 294-1745
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00958800
NJ
Other
Enumeration date
02/02/2021
Last updated
02/02/2021
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