Delage, Mary
Delage, Mary is an sole proprietor health care provider with primary practice located at 130 N Gross Rd Ste 125 , Kingsland GA 31548-6263. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Delage, Mary can be contacted via phone (912) 342-8875.Contact Information
Primary practice address
130 N Gross Rd Ste 125
Kingsland GA 31548-6263
Phone: (912) 342-8875
Fax: (912) 265-0041
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | OT007568 | Georgia |
Profile Details
| NPI number | 1427692458 |
|---|---|
| LBN Legal business name | Delage, Mary |
| Credentials | Occupational Therapist (OT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 2nd, 2019 |
| Last updated | Nov 2nd, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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