Individual
MS. JESSICA JUNE DORIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
255 EXECUTIVE DR STE LL108, PLAINVIEW, NY 11803-1707
(516) 576-2040
Mailing address
860 COURT RD, FRANKLIN SQUARE, NY 11010-3902
(516) 233-9378
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
021838
NY
Other
Enumeration date
09/07/2017
Last updated
09/07/2017
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