Organization
MARY'S PLACE PEDIATRIC REHAB, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA MONTAGUE (PRESIDENT)
(856) 988-1160
Entity
Organization
Contact information
Practice address
9004 LINCOLN DR W STE F, MARLTON, NJ 08053-3206
(856) 988-1160
(856) 988-1183
Mailing address
9004 LINCOLN DR W STE F, MARLTON, NJ 08053-3206
(856) 988-1160
(856) 988-1183
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
01/05/2007
Last updated
09/11/2025
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