Individual
CHRISTINE MAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20 W MAPLE AVE, MERCHANTVILLE, NJ 08109-5104
(856) 910-7502
Mailing address
1800 MAPLE AVE, CHERRY HILL, NJ 08002-1218
(856) 906-6451
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA02148500
NJ
Other
Enumeration date
12/28/2022
Last updated
12/28/2022
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