Individual
CORAZON TABARES-TIEFENTHALER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
7 CARNEGIE PLZ, CHERRY HILL, NJ 08003-1000
(877) 407-3422
Mailing address
620 EVERETT AVE, COLLINGSWOOD, NJ 08107-1610
(609) 217-8169
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00621000
NJ
Other
Enumeration date
03/12/2013
Last updated
03/12/2013
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