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NPI 1497546741

NPI 1497546741 : ISABEL TOMANELLI OTR/L : GLEN ROCK, NJ

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General NPI Number Information
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    NPI Number           |    1497546741
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    Entity Type          |    Individual 
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    Provider Name        |    ISABEL TOMANELLI OTR/L
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/15/2025
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    Last Update Date     |    05/15/2025
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Provider Practice Location Address
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    Address Line         |    266 HARRISTOWN RD STE 200 
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    City                 |    GLEN ROCK
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    State                |    NJ
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    Zip                  |    07452-3354
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    Country              |    US
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    Telephone            |    201-445-7000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    17 TERMAKAY DR 
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    City                 |    NEW CITY
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    State                |    NY
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    Zip                  |    10956-6435
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    Country              |    US
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    Telephone            |    845-499-9119
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    46TR01240200
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    License Number State |    NJ
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