Individual
DAWN MARIE TEXAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
535 MOUNTAIN AVE, NEW PROVIDENCE, NJ 07974-2002
(800) 824-5939
Mailing address
12 KLINE PL, BERKELEY HEIGHTS, NJ 07922-1319
(908) 665-0014
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00114600
NJ
Other
Enumeration date
09/14/2017
Last updated
03/17/2018
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