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Individual

DOMINIQUE MARIE DIERKING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MOT

Contact information

Practice address
454 ELIZABETH AVE, SOMERSET, NJ 08873-5111
(732) 860-5757
Mailing address
2 RIVER DR, FARMINGDALE, NJ 07727-3857
(732) 299-7266

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
09/13/2021
Last updated
01/23/2026
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