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Individual

ANASTASIA LYNN DOLAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTD, OTR/L

Contact information

Practice address
101 PROSPER WY, UNIT 11/12, BRICK, NJ 08723-3539
(732) 210-0805
Mailing address
98 SAINT LAWRENCE BLVD, BRICK, NJ 08723-7000
(732) 853-3449

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR01194900
NJ

Other

Enumeration date
08/30/2024
Last updated
08/30/2024
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