Provider Demographics
NPI:1316495153
Name:DOBERSTEIN, JOAN (MS, OTR/L)
Entity type:Individual
Prefix:
First Name:JOAN
Middle Name:
Last Name:DOBERSTEIN
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:607 TALL PINES LN
Mailing Address - Street 2:
Mailing Address - City:HORSHAM
Mailing Address - State:PA
Mailing Address - Zip Code:19044-1802
Mailing Address - Country:US
Mailing Address - Phone:215-971-5697
Mailing Address - Fax:
Practice Address - Street 1:607 TALL PINES LN
Practice Address - Street 2:
Practice Address - City:HORSHAM
Practice Address - State:PA
Practice Address - Zip Code:19044-1802
Practice Address - Country:US
Practice Address - Phone:215-971-5697
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-21
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC014678225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist