Individual
MAGGIE W MESCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19 FOREST TER, WAYNE, NJ 07470-4308
(917) 519-6102
Mailing address
19 FOREST TER, WAYNE, NJ 07470-4308
(917) 519-6102
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
46TR00620800
NJ
Other
Enumeration date
10/16/2020
Last updated
10/16/2020
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