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Individual

MRS. TARYN BLAKE TOMASSACCI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
10 STERLING DR, PISCATAWAY, NJ 08854-4911
(732) 917-2900
Mailing address
12 ANDOVER AVE, BRIDGEWATER, NJ 08807-2674
(908) 642-5134

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00346000
NJ
225200000X
Physical Therapy Assistant
TE010104
PA

Other

Enumeration date
01/01/2018
Last updated
01/01/2018
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