Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XG0600X | Occupational Therapist - Gerontology | 46TR00254600 | NJ |
NPI | 1164876249 |
---|---|
Provider Name | Mrs. Babita Tiwari |
First Address | Englewood Cliffs, NJ 07632-3016 |
Second Address | Englewood Cliffs, NJ 07632-3016 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2016 |
Last Update Date | 25/05/2016 |