Organization
RESILIENT ROOTS OT LLC
Active
Organization
RESILIENT ROOTS OT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MCKENNA MARY DICK OTR/L (MEMBER/PART OWNER)
(732) 236-3485
Entity
Organization
Contact information
Practice address
12 REMINGTON DR, EDISON, NJ 08820-3635
(732) 236-3485
Mailing address
550 COOKMAN AVE APT 225, ASBURY PARK, NJ 07712-7182
(732) 236-3485
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
03/27/2026
Last updated
03/27/2026
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