Individual
DR. TARA JEAN KONRADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
50 DEY ST, #334, JERSEY CITY, NJ 07306-5149
(712) 299-1876
Mailing address
709 CLOVER LN, STORM LAKE, IA 50588-2702
(712) 732-7395
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0151261
NY
225X00000X
Occupational Therapist
11729
CA
Other
Enumeration date
11/19/2008
Last updated
09/03/2020
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