Individual
MR. MICHAEL JOSEPH TAGGART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
301 SICOMAC AVE, WYCKOFF, NJ 07481-2159
(201) 848-4323
Mailing address
7 NANCY DR, NEW CITY, NY 10956-5205
(914) 522-3969
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09060800
NJ
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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