Individual
DOROTHY LADYZHENSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
7 NEWARK POMPTON TPKE, RIVERDALE, NJ 07457-1142
(973) 831-1100
Mailing address
62 BEARD ST, STATEN ISLAND, NY 10314-6241
(718) 883-9266
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR01047300
NJ
225XP0019X
Physical Rehabilitation Occupational Therapist
46TR01047300
NJ
Other
Enumeration date
03/09/2022
Last updated
03/09/2022
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