Provider Demographics
NPI:1275650756
Name:ELSTEIN, TAMARA RACHEL (MS OT)
Entity Type:Individual
Prefix:MRS
First Name:TAMARA
Middle Name:RACHEL
Last Name:ELSTEIN
Suffix:
Gender:F
Credentials:MS OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:801 N BROAD ST APT 4D
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH
Mailing Address - State:NJ
Mailing Address - Zip Code:07208-2569
Mailing Address - Country:US
Mailing Address - Phone:908-355-1135
Mailing Address - Fax:
Practice Address - Street 1:801 N BROAD ST APT 4D
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07208-2569
Practice Address - Country:US
Practice Address - Phone:908-355-1135
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2010-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00388100225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist