| Doctor Name: | MR. MICHAEL TRANQUILLI |
| NPI Number: | 1043391071 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MA, OTR/L |
| License Number: | 46TR00193700 |
| Business Practice Address: | 4 Wexford Rd Chatham, NJ - 079281517 |
| Business Phone Number: | 9734943499 |
| Business Fax Number: | 9734434111 |
| Mailing Address: | 4 Wexford Rd, CHATHAM |
| State: | NJ |
| Postal Code: | 079281517 |
| Phone Number: | 9734943499 |
| Fax Number: | 9734434111 |
| NPI Enumeration Date: | 10/17/2006 |
| NPI Last Update Date: | 05/22/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225XE1200X |
| License Number: | 46TR00193700 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Occupational Therapist |
| Taxonomy Specialization: | Ergonomics |
| Taxonomy Definition: | |