Most Relevant Information
Provider Data
| NPI Number: | 1003530189 |
| Provider Name: | TAMARA BOGDANOVA OTR-L |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 46TR00522000 |
Most Important Dates
| Enumeration Date: | 10/03/2022 |
| Last Updated: | 10/03/2022 |
Provider Practice Location
18 FAIRFIELD AVE
WEST CALDWELL
NJ
070067602
Practice Location Phone/Fax
| Phone: | 8622153472 |
| Fax: |
Provider Mailing Location
18 FAIRFIELD AVE
WEST CALDWELL
NJ
070067602
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |