Provider Demographics
NPI:1356236392
Name:ADVANCED OCCUPATIONAL THERAPY, LLC
Entity type:Organization
Organization Name:ADVANCED OCCUPATIONAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MIRIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:TARLOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-434-9241
Mailing Address - Street 1:25 N 8TH AVE
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:08904-2920
Mailing Address - Country:US
Mailing Address - Phone:917-434-9241
Mailing Address - Fax:
Practice Address - Street 1:25 N 8TH AVE
Practice Address - Street 2:
Practice Address - City:HIGHLAND PARK
Practice Address - State:NJ
Practice Address - Zip Code:08904-2920
Practice Address - Country:US
Practice Address - Phone:917-434-9241
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-10
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty