Provider Demographics
NPI:1891102182
Name:ALIPARO, TATIANA BARROS (MS, OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:TATIANA
Middle Name:BARROS
Last Name:ALIPARO
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 ROOSEVELT BLVD
Mailing Address - Street 2:
Mailing Address - City:PARLIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08859-1549
Mailing Address - Country:US
Mailing Address - Phone:732-648-9125
Mailing Address - Fax:
Practice Address - Street 1:232 BARLOW AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10308-1503
Practice Address - Country:US
Practice Address - Phone:732-648-9125
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-18
Last Update Date:2019-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018934-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist