Individual
TRACEY TUMMINELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
155 W HUDSON AVE # 175, ENGLEWOOD, NJ 07631-1609
(201) 871-8882
Mailing address
92 LAKE ST, WESTWOOD, NJ 07675-1631
(201) 664-3798
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00237200
NJ
Other
Enumeration date
03/21/2007
Last updated
06/18/2015
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