Individual
ADRIANA JULIET TANDAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
516 COMMERCE ST, FRANKLIN LAKES, NJ 07417-1310
(201) 644-7585
Mailing address
516 COMMERCE ST, FRANKLIN LAKES, NJ 07417-1310
(201) 644-7585
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00350500
NJ
Other
Enumeration date
08/02/2018
Last updated
08/02/2018
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