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Individual

ANA GABRIELA DEFURIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
360 CHESTNUT ST, PASSAIC, NJ 07055-3124
(973) 777-7800
Mailing address
539 SUMMER AVE, LYNDHURST, NJ 07071-3217

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00518600
NJ

Other

Enumeration date
05/03/2017
Last updated
05/03/2017
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