Individual
DORA SROUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
210 W SAINT GEORGES AVE, LINDEN, NJ 07036-3900
(908) 587-1624
Mailing address
210 W SAINT GEORGES AVE, LINDEN, NJ 07036-3900
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00715900
NJ
Other
Enumeration date
11/24/2015
Last updated
01/24/2017
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