Individual provider · Type 1 NPI

Tanya Leila Wild-Peach, MS OTR/L

Occupational Therapist · Edison, NJ

NPI number 1497062079 Active

Practice location

1015 Amboy Ave, Grs Heritage At Clara Barton
Edison, NJ 08837-2825

Mailing address

230 Geary Dr
South Plainfield, NJ 07080-2910

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X46TR00486800 (NJ)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1497062079

Tanya Leila Wild-Peach, MS OTR/L's National Provider Identifier is 1497062079, issued on Sep 3, 2010. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Edison, NJ. The record was last updated on Sep 3, 2010.