Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MIRANDA TAN, OTR/L
Active Sole ProprietorOccupational Therapist · FARMINGDALE, NJ
Registration Details
- NPI Number
- 1730959826
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 8, 2024 (2.3243107170353 yrs)
- Last Updated
- Jan 8, 2024
- License
-
OC019563 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
200 CENTRAL AVEFARMINGDALE, NJ, 077273788Browse NJ providers · Browse ZIP 07727
- Phone
- 2158396144
- Primary Specialty
-
Occupational Therapist
225X00000X
Other Occupational Therapist Providers in FARMINGDALE, NJ
| Name | Credential | NPI |
|---|---|---|
| TERESA MARIE IOANNUCCI | — | 1811777139 |
| HANNAH BROOMALL | OTD, OTR/L | 1639978430 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.