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Organization

KID CLAN SERVICES IN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DINAH LEITER OTR (PRESIDENT)
(973) 365-1444
Entity
Organization

Contact information

Practice address
340 MAIN AVE, CLIFTON, NJ 07014-1328
(973) 365-1444
(973) 365-1446
Mailing address
340 MAIN AVE, CLIFTON, NJ 07014-1328
(973) 365-1444
(973) 365-1446

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
225XP0200X
Pediatric Occupational Therapist
Primary
235Z00000X
Speech-Language Pathologist

Other

Enumeration date
09/05/2014
Last updated
09/05/2014
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