Individual
STEPHANIE DORGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
163 E MAIN ST, LITTLE FALLS, NJ 07424-1711
(973) 339-0141
Mailing address
70 BOONSTRA DR, WAYNE, NJ 07470-2528
(973) 800-3670
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
46TR00870600
NJ
Other
Enumeration date
05/13/2019
Last updated
05/13/2019
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