Provider Demographics
NPI:1154449387
Name:OCANA, TIFFANY JOY (OT)
Entity Type:Individual
Prefix:
First Name:TIFFANY JOY
Middle Name:
Last Name:OCANA
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:528 WILLIAM ST
Mailing Address - Street 2:
Mailing Address - City:SCOTCH PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07076-1910
Mailing Address - Country:US
Mailing Address - Phone:908-228-2290
Mailing Address - Fax:
Practice Address - Street 1:1700 ROUTE 3
Practice Address - Street 2:GROUND FLR
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07013-3928
Practice Address - Country:US
Practice Address - Phone:908-771-5789
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2012-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJTROO297100225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist