Individual
TARA A FETTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1050 GALLOPING HILL RD, UNION, NJ 07083-7983
(908) 206-2230
(908) 206-2237
Mailing address
200 S ORANGE AVE, LIVINGSTON, NJ 07039-5817
(973) 322-7500
(973) 322-7502
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00534000
NJ
Other
Enumeration date
10/14/2010
Last updated
10/14/2010
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