Provider Demographics
NPI:1245996669
Name:TARNOW, EMILY (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:
Last Name:TARNOW
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MRS
Other - First Name:EMILY
Other - Middle Name:
Other - Last Name:TARNOW
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OTR/L
Mailing Address - Street 1:1 PHARO AVE
Mailing Address - Street 2:
Mailing Address - City:TUCKERTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08087-2741
Mailing Address - Country:US
Mailing Address - Phone:609-661-8614
Mailing Address - Fax:
Practice Address - Street 1:311 S NEW YORK RD
Practice Address - Street 2:
Practice Address - City:GALLOWAY
Practice Address - State:NJ
Practice Address - Zip Code:08205-6025
Practice Address - Country:US
Practice Address - Phone:609-661-8614
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-10
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR01026000225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist