Individual
MRS. LAURA DOHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
536 RIDGE RD, CEDAR GROVE, NJ 07009-1611
(973) 239-9300
Mailing address
12-24 ORCHARD ST, FAIR LAWN, NJ 07410-2222
(201) 300-2766
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00354500
NJ
Other
Enumeration date
03/30/2007
Last updated
05/20/2010
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