Provider Demographics
NPI:1770779878
Name:TAFFET, MICHELE H (OTR)
Entity type:Individual
Prefix:MRS
First Name:MICHELE
Middle Name:H
Last Name:TAFFET
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:807 N HADDON AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:HADDONFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:08033-1749
Mailing Address - Country:US
Mailing Address - Phone:856-795-9222
Mailing Address - Fax:856-795-0026
Practice Address - Street 1:807 N HADDON AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:HADDONFIELD
Practice Address - State:NJ
Practice Address - Zip Code:08033-1749
Practice Address - Country:US
Practice Address - Phone:856-795-9222
Practice Address - Fax:856-795-0026
Is Sole Proprietor?:No
Enumeration Date:2007-09-21
Last Update Date:2011-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00450400225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist