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NPI Code Detail

MEDICARE: LEAH DORNER MS, OTR

MEDICARE:   LEAH  DORNER  MS, OTR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist46TR00609700NJ

General Provider Information

NPI Number : 1811321144
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEAH DORNER MS, OTR
Provider Business Mailing Address
First Line : 105 COOPER AVE
Second Line :
City : COLLINGSWOOD
State : NJ
Zip : 08108-3204
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3575 QUAKERBRIDGE RD
Second Line :
City : TRENTON
State : NJ
Zip : 08619-1271
Country : US
Telephone Number : 160-963-1213
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2013
Last Update Date : 08/22/2013

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