Individual
ELIZABETH TIBERIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
395 LAKESIDE BLVD, BAYVILLE, NJ 08721-2807
(732) 269-0500
Mailing address
511 LAZY LN, ABSECON, NJ 08201-1338
(609) 646-4577
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09023800
NJ
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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