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Individual

MS. EVA ORT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
109 DOLINGTON RD, YARDLEY, PA 19067-2734
(732) 598-3502
Mailing address
109 DOLINGTON RD, YARDLEY, PA 19067-2734
(732) 598-3502

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL010258
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
18780
FLORIDA DEPARTMENT OF HEALTH
FL
01
41YS00604900
NJ DIVISION OF CONSUMER AFFAIRS
NJ
Enumeration date
02/09/2022
Last updated
02/09/2022
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