Individual
MARY K APOLLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH, QOM
Contact information
Practice address
756 HARTWELL ST, TEANECK, NJ 07666-5312
(201) 790-4610
Mailing address
756 HARTWELL ST, TEANECK, NJ 07666-5312
(201) 790-4616
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
22H100779600
NJ
Other
Enumeration date
06/18/2024
Last updated
06/18/2024
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