| NPI | 1205240496 |
|---|---|
| Professional Name | IRENE KOUSOURIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NJ 46TR00239800) |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2014-06-16 |