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Individual

DAPHNE REBECCA GORIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
675 3RD AVE, 5TH FLOOR, NEW YORK, NY 10017-5704
(212) 204-5190
Mailing address
88 CLIFTON PL, APT 805, JERSEY CITY, NJ 07304-6186
(646) 334-7862

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
021075
NY

Other

Enumeration date
11/28/2016
Last updated
01/19/2017
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