Healthcare Provider Details

I. General information

NPI: 1316495153
Provider Name (Legal Business Name): JOAN DOBERSTEIN M.S., OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2016
Last Update Date: 04/11/2023
Certification Date: 04/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

607 TALL PINES LN
HORSHAM PA
19044-1802
US

IV. Provider business mailing address

607 TALL PINES LN
HORSHAM PA
19044-1802
US

V. Phone/Fax

Practice location:
  • Phone: 215-971-5697
  • Fax:
Mailing address:
  • Phone: 215-971-5697
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOC014678
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: