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Individual

GAGANDEEP DHALIWAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MOT

Contact information

Practice address
757 ROUTE 15 S, SUITE 102, LAKE HOPATCONG, NJ 07849
(973) 860-0522
(973) 860-0523
Mailing address
11 EAGLE ROCK AVE STE 201, EAST HANOVER, NJ 07936-3167
(973) 887-9000
(973) 887-3816

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00851800
NJ
225X00000X
Occupational Therapist
63 019683
NY

Other

Enumeration date
10/08/2015
Last updated
05/19/2021
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