Individual
MARGALIE JACKIE ELIANOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
51 MADISON AVE, MADISON, NJ 07940-1411
(973) 377-2124
Mailing address
208 WINDING HILL DR, HACKETTSTOWN, NJ 07840-5662
(908) 251-5710
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09065900
NJ
Other
Enumeration date
09/30/2008
Last updated
09/30/2008
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