Individual
REBECCA MACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 POPLAR AVE, POMPTON LAKES, NJ 07442-2507
(973) 897-3126
Mailing address
115 POPLAR AVE, POMPTON LAKES, NJ 07442-2507
(973) 897-3126
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
391-5
NJ
Other
Enumeration date
05/12/2016
Last updated
05/09/2022
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