Provider Demographics
NPI:1871671701
Name:TARZONA, ROWENA LAVINA (OTR/L)
Entity type:Individual
Prefix:
First Name:ROWENA
Middle Name:LAVINA
Last Name:TARZONA
Suffix:
Gender:
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 E CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:BLACKWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08012-3910
Mailing Address - Country:US
Mailing Address - Phone:609-703-1521
Mailing Address - Fax:609-834-0726
Practice Address - Street 1:400 E CHURCH ST
Practice Address - Street 2:
Practice Address - City:BLACKWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08012-3910
Practice Address - Country:US
Practice Address - Phone:609-703-1521
Practice Address - Fax:609-834-0726
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00227800225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist