Individual
LASHANDA DOBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
255 E MAIN ST, MOORESTOWN, NJ 08057-2982
(856) 235-1214
Mailing address
255 E MAIN ST, MOORESTOWN, NJ 08057-2982
(856) 235-1214
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09124900
NJ
Other
Enumeration date
09/21/2017
Last updated
09/21/2017
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