Individual
DYNISHA KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
382 VAN HORNE ST, APT. 2, JERSEY CITY, NJ 07304-3818
(201) 887-7032
Mailing address
382 VAN HORNE ST, APT. 2, JERSEY CITY, NJ 07304-3818
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
020515-1
NY
225X00000X
Occupational Therapist
46TR00739400
NJ
Other
Enumeration date
08/09/2016
Last updated
08/31/2016
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