Individual
DONNA DOHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
108 PATERSON ST, 2ND FL, JERSEY CITY, NJ 07307-3426
(201) 401-4557
Mailing address
108 PATERSON ST, 2ND FL, JERSEY CITY, NJ 07307-3426
(201) 401-4557
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
46TR00080800
NJ
Other
Enumeration date
12/10/2011
Last updated
12/30/2014
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