Individual
MS. VIRGINIA COFFMAN TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. OTR/L
Contact information
Practice address
3575 QUAKERBRIDGE RD, TRENTON, NJ 08619-1205
(609) 631-2800
Mailing address
27 E FRANKLIN AVE, A, PENNINGTON, NJ 08534-2312
(609) 730-8320
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
46TR00203700
NJ
Other
Enumeration date
07/30/2007
Last updated
07/30/2007
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