Individual
TAIEL DURITY-CHOONOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2 14TH AVE # 36B, ELMWOOD PARK, NJ 07407-3506
(551) 486-1915
Mailing address
2 14TH AVE # 36B, ELMWOOD PARK, NJ 07407-3506
(551) 486-1915
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
12/02/2022
Last updated
12/02/2022
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