ILA DORIS FORTUNA

TINTON FALLS, NJ
NPI1801815378
Former NameILA DORIS WERNIK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: NJ  46TR00096000)
Enumeration Date2006-07-18
Last Update Date2017-11-21
Business Address
-- ILA DORIS FORTUNA OTR
776 SHREWSBURY AVE
TINTON FALLS, NJ 07724-3006
Phone number: 732-741-0665
Mailing Address
-- ILA DORIS FORTUNA OTR
776 SHREWSBURY AVE # S101
TINTON FALLS, NJ 07724-3006
Phone number: 631-451-3773
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