Individual
BRIANA BORTNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
189 BERKLEY PL, DUMONT, NJ 07628-1030
(201) 314-8807
Mailing address
189 BERKLEY PL, DUMONT, NJ 07628-1030
(201) 314-8807
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00842500
NJ
Other
Enumeration date
05/20/2021
Last updated
05/20/2021
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