Individual
MRS. DINA CHAYA BARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1400 PINE ST, LAKEWOOD, NJ 08701-4963
(732) 534-7325
Mailing address
946 MADISON AVE, LAKEWOOD, NJ 08701-2626
(646) 717-4662
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
46TR00789300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112077775
—
NJ
01
—
1290398903
UNITED HEALTHCARE-OXFORD
NY
Enumeration date
02/25/2018
Last updated
02/25/2018
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