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Individual

DARIA KOROBOVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2 DEERPARK DR, MONMOUTH JUNCTION, NJ 08852-1919
(732) 274-1122
Mailing address
2 DEERPARK DR, MONMOUTH JUNCTION, NJ 08852-1919

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09098500
NJ

Other

Enumeration date
10/21/2014
Last updated
10/21/2014
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