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1174916597
TARA OTTERBEIN
PARAMUS, NJ
NPI
1174916597
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Former Name
TARA MACULA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NJ 40QA01599300)
Enumeration Date
2015-03-10
Last Update Date
2022-11-03
Business Address
TARA OTTERBEIN
776 N RTE 17
PARAMUS, NJ 07652-3108
Phone number: 201-225-9222
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Mailing Address
TARA OTTERBEIN
333 EARLE OVINGTON BLVD SUITE
UNIONDALE, NY 11553-3610
Phone number: 516-321-2424
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