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Organization
MADDIE LIST OTR LLC
Active
Organization
MADDIE LIST OTR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MADELINE LIST OTR/L (OWNER)
(845) 234-5992
Entity
Organization
Contact information
Practice address
615 LACEY RD STE K, FORKED RIVER, NJ 08731-2200
(845) 234-5992
Mailing address
1208 LAUREL BLVD, LANOKA HARBOR, NJ 08734-2904
(845) 234-5992
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
—
—
Other
Enumeration date
07/04/2026
Last updated
07/04/2026
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