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NPI Code Detail

MEDICARE: TARA HUTTO MSOT

MEDICARE: TARA HUTTO MSOT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist46TR00636800NJ

General Provider Information

NPI Number : 1417307323
Entity Type Code : Individual
Provider Name (Legal Business Name) : TARA HUTTO MSOT
Provider Business Mailing Address
First Line : 85 HARRETON RD
Second Line :
City : ALLENDALE
State : NJ
Zip : 07401-1317
Country : US
Telephone Number : 201-825-0660
Fax Number :
Provider Business Practice Location Address
First Line : 85 HARRETON RD
Second Line :
City : ALLENDALE
State : NJ
Zip : 07401-1317
Country : US
Telephone Number : 201-825-0660
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2016
Last Update Date : 06/21/2016

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Directions to “ TARA HUTTO MSOT” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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