Individual
KARALINE IRENE DIBERNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
503 PINE BROOK RD, LINCOLN PARK, NJ 07035-1801
(973) 769-2408
Mailing address
13 KNOLL RD, BOONTON, NJ 07005-9629
(973) 335-9877
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00803300
NJ
Other
Enumeration date
03/06/2018
Last updated
03/06/2018
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