Individual
MRS. GORDANA ISSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
101 W 56TH ST, BAYONNE, NJ 07002-3315
(201) 858-5996
Mailing address
22 HAMMOND AVE, CLIFTON, NJ 07011-4117
(973) 574-0951
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00012000
NJ
Other
Enumeration date
03/28/2007
Last updated
12/15/2010
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