Individual
PERI TYBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
24 BLUE RIVER WAY, LAKEWOOD, NJ 08701-5681
(718) 775-0743
Mailing address
24 BLUE RIVER WAY, LAKEWOOD, NJ 08701-5681
(718) 775-0743
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
225X00000X
Occupational Therapist
Primary
46TR01251200
NJ
Other
Enumeration date
05/15/2022
Last updated
08/21/2025
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