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Individual

TAMARAH AMY BORGELLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
511 HEMPSTEAD AVE, WEST HEMPSTEAD, NY 11552-2737
(516) 565-0388
Mailing address
129 MITCHELL ST, WEST ORANGE, NJ 07052-4553
(973) 380-4910

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
NJ

Other

Enumeration date
09/14/2017
Last updated
09/14/2017
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