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Individual

CORAL DEL MAR TORRES ORTIZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, BC-DMT

Contact information

Practice address
151 KNOLLCROFT RD, LYONS, NJ 07939-5001
(908) 647-0180
Mailing address
151 KNOLLCROFT RD, LYONS, NJ 07939-5001
(908) 647-0180

Taxonomy

Speciality
Code
Description
License number
State
225600000X
Dance Therapist
Primary

Other

Enumeration date
05/10/2021
Last updated
05/10/2021
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