Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251E1200X | Ergonomics | 46TR00193700 | NJ |
N | 225XE1200X | Ergonomics | 46TR00193700 | NJ |
N | 225XH1200X | Occupational Therapist - Hand | 46TR00193700 | NJ |
N | 2251H1300X | Human Factors | 46TR00193700 | NJ |
N | 225XH1300X | Human Factors | 46TR00193700 | NJ |
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 46TR00193700 | NJ |
NPI | 1043391071 |
---|---|
Provider Name | Mr. Michael Tranquilli |
First Address | Chatham, NJ 07928-1517 |
Second Address | Chatham, NJ 07928-1517 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2006 |
Last Update Date | 26/02/2017 |