Individual
MRS. SHIRA MOER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
8-24 SUSAN PL, FAIR LAWN, NJ 07410-1616
(212) 927-3422
Mailing address
1475 E TERRACE CIR, #4, TEANECK, NJ 07666-5214
(917) 767-5017
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
46TR00540300
NJ
225X00000X
Occupational Therapist
Primary
63 01652
NY
Other
Enumeration date
12/21/2011
Last updated
12/21/2011
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