MICHAEL TAVARES

ROCKAWAY, NJ
NPI1891279600
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: NJ  46TR00675100)
Enumeration Date2018-09-18
Last Update Date2018-09-18
Business Address
MICHAEL TAVARES
128 HAWTHORNE CT
ROCKAWAY, NJ 07866-2252
Phone number: 973-907-3624
Mailing Address
MICHAEL TAVARES
128 HAWTHORNE CT
ROCKAWAY, NJ 07866-2252
Phone number: 973-907-3624