Mack, Maureen Grace
Mack, Maureen Grace is an sole proprietor health care provider with primary practice located at 190 Park Ave , Florham Park NJ 07932-1049. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Mack, Maureen Grace can be contacted via phone (973) 292-6555.Contact Information
Primary practice address
190 Park Ave
Florham Park NJ 07932-1049
Phone: (973) 292-6555
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 46TR10087800 | New Jersey |
Profile Details
| NPI number | 1841315488 |
|---|---|
| LBN Legal business name | Mack, Maureen Grace |
| Credentials | Occupational Therapist (OT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 20th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841315488 | NPPES |
| New Jersey | Other | 46TR00187800 | STAE LICENSE |
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