Individual
MATEUSZ ADAM MARCHUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
77 MADISON AVE, MORRISTOWN, NJ 07960-7330
(973) 540-9800
Mailing address
38 FOX HOLLOW DR, DALLAS, PA 18612-8902
(201) 888-0563
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
46TA09120100
NJ
225X00000X
Occupational Therapist
46TR01065300
NJ
225X00000X
Occupational Therapist
Primary
OC019710
PA
Other
Enumeration date
04/04/2016
Last updated
04/01/2024
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